NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

CHRISTO W KOULISIS, MD – NPI #1780673749
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

CHRISTO W KOULISIS, MD
1003 COLLEGE BLVD W
SUITE 4
NICEVILLE, FL32578-1068
 Phone: 850-279-6485
 Fax: 850-279-6546
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Specialist

174400000X
Indicates primary specialty
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NPI Information for CHRISTO W KOULISIS · (Male)

NPI Number 1780673749
Credentials MD
Entity Individual
Enumeration date 10/20/2005
Last updated 10/16/2012 - About 2 years ago
Sole proprietor 1 No
Identifiers
FL License # ME0053933
FL Medicaid 256355000
Medicare (Unspecified) 07915
Medicare UPIN B24093
FL Other 07915 BLUE CROSS BLUE SHIELD
FL Other 162510700 DEPARTMENT OF LABOR
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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