Koliais, Efthimia Domna

Koliais, Efthimia Domna is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospital Surgery Dept, Hartford CT 06102-5037. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Koliais, Efthimia Domna can be contacted via phone (860) 972-4670.

Contact Information

Primary practice address
80 Seymour Street Hartford Hospital Surgery Dept Hartford CT 06102-5037
Phone: (860) 972-4670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003086 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003086 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003086 Connecticut

Profile Details

NPI number 1538584248
LBN Legal business name Koliais, Efthimia Domna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2014
Last updated Feb 15th, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538584248 NPPES
Connecticut MEDICAID 003030869

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