Makori, Victor G.

Makori, Victor G. is an sole proprietor health care provider with primary practice located at 17017 Georgetown Way , Rosemount MN 55068-5159. He recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as his primary health care specialty. Makori, Victor G. can be contacted via phone (612) 290-9608.

Contact Information

Primary practice address
17017 Georgetown Way Rosemount MN 55068-5159
Phone: (612) 290-9608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1750947743
LBN Legal business name Makori, Victor G.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2019
Last updated May 15th, 2019 - about 5 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 1750947743 NPPES
Minnesota MEDICAID 2300

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