Pereira, Eduardo V
Pereira, Eduardo V is an individual health care provider with primary practice located at 101 S Washington St Suite 200, Marion IN 46952-3867. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pereira, Eduardo V can be contacted via phone (765) 662-9971.Contact Information
Primary practice address
101 S Washington St Suite 200
Marion IN 46952-3867
Phone: (765) 662-9971
Fax: (765) 651-6566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34001263A | Indiana |
Profile Details
| NPI number | 1528117769 |
|---|---|
| LBN Legal business name | Pereira, Eduardo V |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1528117769 | NPPES |
| Indiana | Other | 000000004027 | MPLAN PROV ID |
| Indiana | Other | 158079 | MPLAN PROV ID |
| Indiana | Other | 0005477491 | MPLAN PROV ID |
| Indiana | Other | 088367428001 | MPLAN PROV ID |
| Indiana | Other | I014647 | MPLAN PROV ID |
| Indiana | Other | 000000183231 | MPLAN PROV ID |
| Indiana | Other | LIC34001263A | MPLAN PROV ID |
| Indiana | Other | 000000317611 | MPLAN PROV ID |
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