Bakalakos, Efthimios Alexander

Bakalakos, Efthimios Alexander is an individual health care provider with primary practice located at 112 Saint Olaf Ave S , Canby MN 56220-1433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bakalakos, Efthimios Alexander can be contacted via phone (507) 223-7277.

Contact Information

Primary practice address
112 Saint Olaf Ave S Canby MN 56220-1433
Phone: (507) 223-7277
Fax: (507) 223-7465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 41801 Minnesota

Profile Details

NPI number 1407868706
LBN Legal business name Bakalakos, Efthimios Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Aug 15th, 2023 - about 3 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 1407868706 NPPES
Minnesota MEDICAID 258716500

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