Eric Karl Undesser in Jackson - Clinical Neurophysiology
Eric Karl Undesser - NPI 1124051321
Eric Karl Undesser is a Clinical Neurophysiology in Jackson, Mississippi. Eric Karl Undesser practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Eric Karl Undesser is 1124051321. The last update date is 2014-04-07.
Eric Karl Undesser's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845500 and fax number 6019845503. The mailing address for Eric Karl Undesser is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eric Karl Undesser |
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Address | 2500 N State St, Jackson, Mississippi |
Phone Number | 6019845500 |
Fax Number | 6019845503 |
Sole Proprietor | N |
Credentials | MD, PHD |
NPI Number Detail
NPI Number | 1124051321 |
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Provider Enumeration Date | 2006-07-09 |
Last Updated Date | 2014-04-07 |
Provider Mailing Address Detail
Address | 2500 N State St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392164500 |
Phone Number | 6019845500 |
Fax Number | 6019845503 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neurophysiology |
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Taxonomy | 2084N0600X |
Licence No | 11945 |
Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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9880325 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eric Karl Undesser by the Centers for Medicare & Medicaid Services?
The Eric Karl Undesser has been issued the NPI (National Provider Identifier) 1124051321 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Eric Karl Undesser's physical address?
The Eric Karl Undesser is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 392164500.
What is the area of specialization for Eric Karl Undesser, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eric Karl Undesser is Clinical Neurophysiology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0600X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124051321 to Eric Karl Undesser?
The Centers for Medicare & Medicaid Services originally issued the 1124051321 to Eric Karl Undesser on 2006-07-09.
As of what date was the information pertaining to Eric Karl Undesser, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eric Karl Undesser, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-07.