Komaridis, George V
Komaridis, George V is an sole proprietor health care provider with primary practice located at 11 Civic Center Plz Ste 2090 , Mankato MN 56001-7710. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Komaridis, George V can be contacted via phone (507) 345-4679.Contact Information
Primary practice address
11 Civic Center Plz Ste 2090
Mankato MN 56001-7710
Phone: (507) 345-4679
Fax: (507) 345-8685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP1673 | Minnesota |
Profile Details
| NPI number | 1124297213 |
|---|---|
| LBN Legal business name | Komaridis, George V |
| Credentials | PH.D.. LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2008 |
| Last updated | Nov 29th, 2023 - about last year |
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 | 1124297213 | NPPES |
| Minnesota | MEDICAID | 264547500 |
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