Konstantelos, Christos

Konstantelos, Christos is an individual health care provider with primary practice located at 245 Cherry St Se Ste 306, Grand Rapids MI 49503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Konstantelos, Christos can be contacted via phone (616) 685-8512.

Contact Information

Primary practice address
245 Cherry St Se Ste 306 Grand Rapids MI 49503
Phone: (616) 685-8512
Fax: (616) 336-9952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5101012211 Michigan

Profile Details

NPI number 1114970936
LBN Legal business name Konstantelos, Christos
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 6th, 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 1114970936 NPPES
Michigan MEDICAID 4774950

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