Sequeira, Edgardo A
Sequeira, Edgardo A is an sole proprietor health care provider with primary practice located at 121 Tuscany Dr , Georgetown TX 78628-7066. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Sequeira, Edgardo A can be contacted via phone (818) 471-5979.Contact Information
Primary practice address
121 Tuscany Dr
Georgetown TX 78628-7066
Phone: (818) 471-5979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | SA00736 | Texas |
Profile Details
| NPI number | 1356997118 |
|---|---|
| LBN Legal business name | Sequeira, Edgardo A |
| Credentials | LSA, CSFA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2019 |
| Last updated | Aug 16th, 2019 - 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 | 1356997118 | NPPES |
| Texas | Other | 178570 | NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING |
| Texas | Other | SA00736 | NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING |
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