Izquierdo, Manuel Eulysses
Izquierdo, Manuel Eulysses is an individual health care provider with primary practice located at 727 Se Main St Ste 120 , Simpsonville SC 29681-3248. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Izquierdo, Manuel Eulysses can be contacted via phone (864) 454-6700.Contact Information
Primary practice address
727 Se Main St Ste 120
Simpsonville SC 29681-3248
Phone: (864) 454-6700
Fax: (864) 454-6705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2017-00218 | North Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2017-00218 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 87650 | South Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2017-00218 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2017-00218 | North Carolina |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 2017-00218 | North Carolina |
Profile Details
| NPI number | 1871972877 |
|---|---|
| LBN Legal business name | Izquierdo, Manuel Eulysses |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2015 |
| Last updated | Oct 21st, 2025 - about last year |
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 | 1871972877 | NPPES |
| South Carolina | MEDICAID | PENDING |
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