Komlanvi, Ami

Komlanvi, Ami is an sole proprietor health care provider with primary practice located at 18580 Joplin Ave , Lakeville MN 55044-4218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Komlanvi, Ami can be contacted via phone (952) 892-9500.

Contact Information

Primary practice address
18580 Joplin Ave Lakeville MN 55044-4218
Phone: (952) 892-9500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11347 Minnesota

Profile Details

NPI number 1265874366
LBN Legal business name Komlanvi, Ami
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2013
Last updated Nov 2nd, 2022 - about 2 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 1265874366 NPPES
Minnesota MEDICAID 1265874366

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