Mosura, Matthew Sand
Mosura, Matthew Sand is an individual health care provider with primary practice located at 2005 Landry Drive , Bossier City LA 71111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mosura, Matthew Sand can be contacted via phone (318) 752-7850.Contact Information
Primary practice address
2005 Landry Drive
Bossier City LA 71111
Phone: (318) 752-7850
Fax: (318) 752-7855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 15597R | Louisiana |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 15597R | Louisiana |
Profile Details
| NPI number | 1861613291 |
|---|---|
| LBN Legal business name | Mosura, Matthew Sand |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 31st, 2020 - about 5 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 | 1861613291 | NPPES |
| Louisiana | Other | P01249632 | RR |
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