Dela Cruz, Edith D.
Dela Cruz, Edith D. is an individual health care provider with primary practice located at 200 Beacon Pkwy W Suite 330, Birmingham AL 35209-3102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dela Cruz, Edith D. can be contacted via phone (205) 715-5910.Contact Information
Primary practice address
200 Beacon Pkwy W Suite 330
Birmingham AL 35209-3102
Phone: (205) 715-5910
Fax: (205) 715-5928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17232 | Alabama |
Profile Details
| NPI number | 1023118676 |
|---|---|
| LBN Legal business name | Dela Cruz, Edith D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023118676 | NPPES |
| Alabama | MEDICAID | 000085191 | |
| Alabama | Other | 85191 |
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