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
Fax: (405) 302-2670
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992819700 NPPES
Pennsylvania MEDICAID 101714226
Pennsylvania MEDICAID 0111627

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