Hendricks, Peter L

Hendricks, Peter L is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hendricks, Peter L can be contacted via phone (205) 934-6600.

Contact Information

Primary practice address
619 19Th Street South Birmingham AL 35233
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9950 Alabama

Profile Details

NPI number 1962499459
LBN Legal business name Hendricks, Peter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jun 6th, 2011 - about 15 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 1962499459 NPPES
Alabama MEDICAID 009942261
Alabama Other 051540602
Alabama Other 051540600
Alabama Other 051540601
Alabama MEDICAID 009942266
Alabama MEDICAID 009942263
Alabama MEDICAID 00734297
Alabama Other 051540599
Alabama MEDICAID 009942262

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