Luzardo, Gustavo Daniel
Luzardo, Gustavo Daniel is an sole proprietor health care provider with primary practice located at 2500 N State St Ummc Neurosurgery 7Th Floor, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Luzardo, Gustavo Daniel can be contacted via phone (601) 984-5700.Contact Information
Primary practice address
2500 N State St Ummc Neurosurgery 7Th Floor
Jackson MS 39216-4500
Phone: (601) 984-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 19202 | Mississippi |
Profile Details
| NPI number | 1972706927 |
|---|---|
| LBN Legal business name | Luzardo, Gustavo Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Jun 18th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972706927 | NPPES |
| Mississippi | Other | P00675236 | RAILROAD MEDICARE |
| Mississippi | MEDICAID | 08482322 | RAILROAD MEDICARE |
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