Katsaros, Demetrios
Katsaros, Demetrios is an sole proprietor health care provider with primary practice located at 7863 Broadway Suite 135, Merrillville IN 46410-5553. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Katsaros, Demetrios can be contacted via phone (219) 736-2047.Contact Information
Primary practice address
7863 Broadway Suite 135
Merrillville IN 46410-5553
Phone: (219) 736-2047
Fax: (219) 736-2048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01049411 | Indiana |
Profile Details
| NPI number | 1770610180 |
|---|---|
| LBN Legal business name | Katsaros, Demetrios |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1770610180 | NPPES |
| Indiana | MEDICAID | 200195840B | |
| Indiana | Other | 000000080178 |
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