Basco, Eduardo Virtucio

Basco, Eduardo Virtucio is an individual health care provider with primary practice located at 3950 New Covington Pike Ste 220 , Memphis TN 38128-2595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Basco, Eduardo Virtucio can be contacted via phone (901) 763-0200.

Contact Information

Primary practice address
3950 New Covington Pike Ste 220 Memphis TN 38128-2595
Phone: (901) 763-0200
Fax: (901) 761-4002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16975 Mississippi
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 31561 Tennessee

Profile Details

NPI number 1750381430
LBN Legal business name Basco, Eduardo Virtucio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated May 17th, 2024 - about 7 months 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 1750381430 NPPES
Tennessee MEDICAID 1519959
Tennessee MEDICAID 00122315
Tennessee MEDICAID 143997001
Tennessee Other 4270156

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