Kouvalis, Elias
Kouvalis, Elias is an individual health care provider with primary practice located at 13911 Ridgedale Dr Suite 395, Minnetonka MN 55305-1771. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kouvalis, Elias can be contacted via phone (952) 545-8603.Contact Information
Primary practice address
13911 Ridgedale Dr Suite 395
Minnetonka MN 55305-1771
Phone: (952) 545-8603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11378 | Minnesota |
Profile Details
| NPI number | 1457412264 |
|---|---|
| LBN Legal business name | Kouvalis, Elias |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Nov 15th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457412264 | NPPES |
| Minnesota | MEDICAID | 603023800 |
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