Sequeira, Edgardo A

Sequeira, Edgardo A is an sole proprietor health care provider with primary practice located at 121 Tuscany Dr , Georgetown TX 78628-7066. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Sequeira, Edgardo A can be contacted via phone (818) 471-5979.

Contact Information

Primary practice address
121 Tuscany Dr Georgetown TX 78628-7066
Phone: (818) 471-5979
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X SA00736 Texas

Profile Details

NPI number 1356997118
LBN Legal business name Sequeira, Edgardo A
Credentials LSA, CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2019
Last updated Aug 16th, 2019 - about 6 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 1356997118 NPPES
Texas Other 178570 NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
Texas Other SA00736 NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING

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