Khoury, Antoine B
Khoury, Antoine B is an individual health care provider with primary practice located at 640 Jackson St Mc 11102H, Saint Paul MN 55101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Khoury, Antoine B can be contacted via phone (651) 254-5175.Contact Information
Primary practice address
640 Jackson St Mc 11102H
Saint Paul MN 55101
Phone: (651) 254-5175
Fax: (651) 254-1603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 41952 | Minnesota |
Profile Details
| NPI number | 1659345064 |
|---|---|
| LBN Legal business name | Khoury, Antoine B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | May 18th, 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 | 1659345064 | NPPES |
| Minnesota | MEDICAID | 511090400 |
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