Canoutas, Constantine Nicholas
Canoutas, Constantine Nicholas is an individual health care provider with primary practice located at 11 Mills Avenue , Greenville SC 29605. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Canoutas, Constantine Nicholas can be contacted via phone (864) 232-3668.Contact Information
Primary practice address
11 Mills Avenue
Greenville SC 29605
Phone: (864) 232-3668
Fax: (864) 271-0526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC520 | South Carolina |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | SC520 | South Carolina |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | SC520 | South Carolina |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | SC520 | South Carolina |
Profile Details
| NPI number | 1427095520 |
|---|---|
| LBN Legal business name | Canoutas, Constantine Nicholas |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Aug 11th, 2022 - about 4 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 | 1427095520 | NPPES |
| South Carolina | Other | D593 | MEDICARE PTAN |
| South Carolina | MEDICAID | GP9955 | MEDICARE PTAN |
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