National Provider Identifier Database

ERIC K UNDESSER, MD, PHD – NPI #1124051321
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

ERIC K UNDESSER, MD, PHD
1500 E WOODROW WILSON AVE
JACKSON, MS39216-5116
Phone: 601-364-1285
Fax: 601-364-1257
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X

* Indicates primary specialty

NPI Profile & details for ERIC K UNDESSER

NPI Number 1124051321
Credentials MD, PHD
Entity Individual
Enumeration date 07/09/2006
Last updated 04/07/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 11945
  • TX License #: G8472
  • MS Medicaid: 09880325
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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