Individual
MR. EDUARDO V PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001263A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004027
MPLAN PROV ID
IN
01
—
000000183231
ANTHEM PROVIDER ID
IN
01
—
000000317611
GENCORP PROVIDER ID
IN
01
—
0005477491
AETNA PROVIDER ID
IN
01
—
088367428001
GENERAL LIC #
IN
01
—
158079
VALUE OPTIONS PROV ID
IN
01
—
I014647
TRICARE PROVIDER ID
IN
01
—
LIC34001263A
GENERAL MOTORS PROV ID
IN
Enumeration date
01/09/2007
Last updated
07/09/2007
Update your record
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