Healthcare Provider Details
I. General information
NPI: 1134291990
Provider Name (Legal Business Name): EULER CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2006
Last Update Date: 02/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2116 CHAPEL HILL RD
BIRMINGHAM AL
35216-5106
US
IV. Provider business mailing address
2116 CHAPEL HILL RD
BIRMINGHAM AL
35216-5106
US
V. Phone/Fax
- Phone: 205-822-8038
- Fax: 205-822-8040
- Phone: 205-822-8038
- Fax: 205-822-8040
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | 19385 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0131X |
| Taxonomy | Foot Surgery Podiatrist |
| License Number | 245 |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
DONALD
W
HAYES
JR.
Title or Position: DIRECTOR
Credential: DPM
Phone: 205-822-8038