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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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