Ennis, David M
Ennis, David M is an individual health care provider with primary practice located at 840 Montclair Rd Suite 606, Birmingham AL 35213-1920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Ennis, David M can be contacted via phone (205) 592-5917.Contact Information
Primary practice address
840 Montclair Rd Suite 606
Birmingham AL 35213-1920
Phone: (205) 592-5917
Fax: (205) 599-4911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 15219 | Alabama |
Profile Details
| NPI number | 1982707766 |
|---|---|
| LBN Legal business name | Ennis, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jun 28th, 2023 - about 3 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 | 1982707766 | NPPES |
| Alabama | MEDICAID | 000027761 | |
| Alabama | MEDICAID | 000023825 |
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