Provider Demographics
NPI:1841375417
Name:JEANNE M BIRKENHAUER, M.D., P.C.
Entity type:Organization
Organization Name:JEANNE M BIRKENHAUER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIRKENHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-948-4290
Mailing Address - Street 1:156 E 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-3516
Mailing Address - Country:US
Mailing Address - Phone:251-948-4290
Mailing Address - Fax:251-948-7682
Practice Address - Street 1:156 E 15TH AVE
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-3516
Practice Address - Country:US
Practice Address - Phone:251-948-4290
Practice Address - Fax:251-948-7682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty