Economou, Themistocles Peter

Economou, Themistocles Peter is an individual health care provider with primary practice located at 7760 France Ave S Ste 1000 , Bloomington MN 55435-5870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Economou, Themistocles Peter can be contacted via phone (952) 746-6767.

Contact Information

Primary practice address
7760 France Ave S Ste 1000 Bloomington MN 55435-5870
Phone: (952) 746-6767
Fax: (952) 746-6768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 37341 Minnesota

Profile Details

NPI number 1528152170
LBN Legal business name Economou, Themistocles Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 7th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528152170 NPPES
Minnesota MEDICAID 384325400

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