Musso, Louis A
Musso, Louis A is an individual health care provider with primary practice located at 1520 E Hammer Ln Suite 104, Fort Mohave AZ 86426-6664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Musso, Louis A can be contacted via phone (928) 768-1200.Contact Information
Primary practice address
1520 E Hammer Ln Suite 104
Fort Mohave AZ 86426-6664
Phone: (928) 768-1200
Fax: (928) 768-1209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 49240 | Wisconsin |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 49240 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5566 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5566 | Arizona |
Profile Details
| NPI number | 1073512976 |
|---|---|
| LBN Legal business name | Musso, Louis A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jul 26th, 2016 - about 10 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 | 1073512976 | NPPES |
| Arizona | MEDICAID | 089437 |
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