Azevedo, Esteban

Azevedo, Esteban is an individual health care provider with primary practice located at 335 Nw Barry Rd , Kansas City MO 64155-2740. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Azevedo, Esteban can be contacted via phone (816) 468-5278.

Contact Information

Primary practice address
335 Nw Barry Rd Kansas City MO 64155-2740
Phone: (816) 468-5278
Fax: (816) 285-5278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2004010062 Missouri

Profile Details

NPI number 1407893472
LBN Legal business name Azevedo, Esteban
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Aug 5th, 2014 - about 12 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 1407893472 NPPES
Missouri Other 34554027 BCBS

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