De Sousa, Eduardo A.
De Sousa, Eduardo A. is an individual health care provider with primary practice located at 1060 Sw 4Th St , Moore OK 73160-2494. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. De Sousa, Eduardo A. can be contacted via phone (405) 302-2661.Contact Information
Primary practice address
1060 Sw 4Th St
Moore OK 73160-2494
Phone: (405) 302-2661
Fax: (405) 302-2670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | 27993 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD421598 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 27993 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 27993 | Oklahoma |
Profile Details
| NPI number | 1992819700 |
|---|---|
| LBN Legal business name | De Sousa, Eduardo A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Feb 9th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992819700 | NPPES |
| Pennsylvania | MEDICAID | 101714226 | |
| Pennsylvania | MEDICAID | 0111627 |
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