Goncalves, Edison

Goncalves, Edison is an sole proprietor health care provider with primary practice located at 3525 Independence Dr , Birmingham AL 35209-5709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Goncalves, Edison can be contacted via phone (205) 971-2450.

Contact Information

Primary practice address
3525 Independence Dr Birmingham AL 35209-5709
Phone: (205) 971-2450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 17079 Alabama

Profile Details

NPI number 1457309593
LBN Legal business name Goncalves, Edison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Sep 22nd, 2020 - about 5 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 1457309593 NPPES
Alabama MEDICAID 529801810

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