Pournaras, Vasilios
Pournaras, Vasilios is an individual health care provider with primary practice located at 1211 44Th Ave. N. Suite 100, Myrtle Beach SC 29577. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pournaras, Vasilios can be contacted via phone (843) 449-3161.Contact Information
Primary practice address
1211 44Th Ave. N. Suite 100
Myrtle Beach SC 29577
Phone: (843) 449-3161
Fax: (843) 449-9785
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | SC3697 | South Carolina |
Profile Details
NPI number | 1083698781 |
---|---|
LBN Legal business name | Pournaras, Vasilios |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1083698781 | NPPES |
South Carolina | MEDICAID | ZX3697 |
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