Fettig, David Michael

Fettig, David Michael is an individual health care provider with primary practice located at 2000 6Th Ave S , Birmingham AL 35233-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fettig, David Michael can be contacted via phone (205) 934-9999.

Contact Information

Primary practice address
2000 6Th Ave S Birmingham AL 35233-2110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 30055 Alabama

Profile Details

NPI number 1992963847
LBN Legal business name Fettig, David Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Jun 28th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992963847 NPPES
Mississippi MEDICAID 04489049
Mississippi Other 051116603
Mississippi MEDICAID 128818
Mississippi MEDICAID 128820
Mississippi Other 051116605
Mississippi Other 051116604
Mississippi MEDICAID 128816

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