Koktsidis, Theodora

Koktsidis, Theodora is an sole proprietor health care provider with primary practice located at 346 Fox Trail Ct , Hobart IN 46342-2351. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Koktsidis, Theodora can be contacted via phone (219) 677-7018.

Contact Information

Primary practice address
346 Fox Trail Ct Hobart IN 46342-2351
Phone: (219) 677-7018
Fax: (219) 940-9429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1194965558
LBN Legal business name Koktsidis, Theodora
Credentials HEALTH ADMINISTRATOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2009
Last updated Feb 25th, 2009 - about 17 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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