Koufos, Emily Barbara

Koufos, Emily Barbara is an sole proprietor health care provider with primary practice located at 1734 45Th St , Munster IN 46321-3915. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Koufos, Emily Barbara can be contacted via phone (219) 924-1440.

Contact Information

Primary practice address
1734 45Th St Munster IN 46321-3915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12013598A Indiana

Profile Details

NPI number 1386311504
LBN Legal business name Koufos, Emily Barbara
Credentials DMD, MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2021
Last updated Aug 25th, 2021 - about 3 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 1386311504 NPPES
Indiana Other 12013598A DENTAL

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