Adult & Pediatric Urology Pc

LBN: Adult & Pediatric Urology Pc
Adult & Pediatric Urology Pc is an health care organization with primary practice located at 3434 W Broadway Suite 102, Council Bluffs IA 51501-3291. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Adult & Pediatric Urology Pc can be contacted via phone (402) 397-7989, or through Desouza, Euclid J via phone (402) 397-7989.

Contact Information

Primary practice address
3434 W Broadway Suite 102 Council Bluffs IA 51501-3291
Fax: (712) 328-9196
Website:
Authorized official contact:
Name: Desouza, Euclid J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1437282308
LBN Legal business name Adult & Pediatric Urology Pc
DBA Doing business as
Authorized official Desouza, Euclid J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437282308 NPPES
Iowa MEDICAID 0424739

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