Mavropoulos, Konstantinos

Mavropoulos, Konstantinos is an sole proprietor health care provider with primary practice located at 83 Cresskill Ave , Dumont NJ 07628-1603. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mavropoulos, Konstantinos can be contacted via phone (201) 655-8246.

Contact Information

Primary practice address
83 Cresskill Ave Dumont NJ 07628-1603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01451600 New Jersey

Profile Details

NPI number 1811243512
LBN Legal business name Mavropoulos, Konstantinos
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2012
Last updated May 28th, 2020 - 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 1811243512 NPPES
New Jersey Other 40QA01451600 LICENSE NUMBER

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