Esguerra, Eden M.

Esguerra, Eden M. is an individual health care provider with primary practice located at 100 Mercy Way Suite 470, Joplin MO 64804-4524. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Esguerra, Eden M. can be contacted via phone (417) 556-6813.

Contact Information

Primary practice address
100 Mercy Way Suite 470 Joplin MO 64804-4524
Phone: (417) 556-6813
Fax: (417) 556-6849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 105727 Missouri

Profile Details

NPI number 1164460762
LBN Legal business name Esguerra, Eden M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Mar 17th, 2016 - about 9 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 1164460762 NPPES
Missouri MEDICAID 207829805
Missouri Other P00817797
Missouri MEDICAID 1002250000A
Missouri MEDICAID 100172270D

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