Izquierdo, Manuel Eulysses
Izquierdo, Manuel Eulysses is an individual health care provider with primary practice located at 200 Patewood Dr Ste B300 , Greenville SC 29615-6338. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Izquierdo, Manuel Eulysses can be contacted via phone (864) 454-4200.Contact Information
Primary practice address
200 Patewood Dr Ste B300
Greenville SC 29615-6338
Phone: (864) 454-4200
Fax: (864) 454-4205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2017-00218 | North Carolina |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 2017-00218 | North Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2017-00218 | North Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2017-00218 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2017-00218 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 87650 | South Carolina |
Profile Details
| NPI number | 1871972877 |
|---|---|
| LBN Legal business name | Izquierdo, Manuel Eulysses |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2015 |
| Last updated | Aug 24th, 2022 - about 3 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 | 1871972877 | NPPES |
| South Carolina | MEDICAID | PENDING |
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