Klonis, Demosthenis

Klonis, Demosthenis is an sole proprietor health care provider with primary practice located at 465 Saint Michaels Dr Suite 117, Santa Fe NM 87505-7670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Klonis, Demosthenis can be contacted via phone (505) 992-2600.

Contact Information

Primary practice address
465 Saint Michaels Dr Suite 117 Santa Fe NM 87505-7670
Phone: (505) 992-2600
Fax: (505) 992-2616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A-1319-05 New Mexico

Profile Details

NPI number 1124118500
LBN Legal business name Klonis, Demosthenis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Apr 21st, 2011 - about 15 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 1124118500 NPPES
New Mexico MEDICAID 29203708

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