MR. ELIA STAMBOULIEH NPI 1639790512

NPI Information

NPI: 1639790512
Provider Name: MR. ELIA STAMBOULIEH
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
2777 LEXINGTON AVE,
UNIT D
ROSEVILLE, MN
ZIP 55113
Phone: (206) 372-8877
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MR. Elia Stamboulieh is a home modifications contractor in Roseville, MN. MR. Elia Stamboulieh NPI is 1639790512. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2777 LEXINGTON AVE,
UNIT D
ROSEVILLE, MN
ZIP 55113-013
Phone: (206) 372-8877

The enumeration date for this NPI number is 5/1/2020 and was last updated on 5/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications		MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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