Antezano, Eduardo Sebastian

Antezano, Eduardo Sebastian is an individual health care provider with primary practice located at 1215 Pleasant St Ste 414, Des Moines IA 50309-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Antezano, Eduardo Sebastian can be contacted via phone (515) 241-5700.

Contact Information

Primary practice address
1215 Pleasant St Ste 414 Des Moines IA 50309-1416
Fax: (515) 241-5775
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-102068 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 37277 Iowa

Profile Details

NPI number 1447363486
LBN Legal business name Antezano, Eduardo Sebastian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 26th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447363486 NPPES
Iowa MEDICAID 1447363486
Iowa Other P01371808

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