Figueroa, Edduyn A
Figueroa, Edduyn A is an sole proprietor health care provider with primary practice located at 425 Park Place Cir Ste 150 , Mishawaka IN 46545-3580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Figueroa, Edduyn A can be contacted via phone (574) 273-2440.Contact Information
Primary practice address
425 Park Place Cir Ste 150
Mishawaka IN 46545-3580
Phone: (574) 273-2440
Fax: (574) 273-2477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01045208A | Indiana |
Profile Details
| NPI number | 1265462410 |
|---|---|
| LBN Legal business name | Figueroa, Edduyn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Oct 25th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265462410 | NPPES |
| Indiana | MEDICAID | 200103430B |
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