Kovanda, Christopher J

Kovanda, Christopher J is an sole proprietor health care provider with primary practice located at 4999 France Ave S Ste 210 , Edina MN 55410-2168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kovanda, Christopher J can be contacted via phone (612) 335-9032.

Contact Information

Primary practice address
4999 France Ave S Ste 210 Edina MN 55410-2168
Phone: (612) 335-9032
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 41657 Minnesota

Profile Details

NPI number 1861501082
LBN Legal business name Kovanda, Christopher J
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Dec 10th, 2019 - about 6 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 1861501082 NPPES
Wisconsin MEDICAID 32594400
Wisconsin Other 240006520
Wisconsin Other 40B11KO
Wisconsin MEDICAID 852226000
Wisconsin Other 1312285
Wisconsin Other 41657
Wisconsin Other HP28575
Wisconsin Other 1300021
Wisconsin Other 123451
Wisconsin Other 960011020119

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