Bova, Michael P
Bova, Michael P is an individual health care provider with primary practice located at 2524 Farragut Dr Suite C, Springfield IL 62704-8400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bova, Michael P can be contacted via phone (217) 726-9346.Contact Information
Primary practice address
2524 Farragut Dr Suite C
Springfield IL 62704-8400
Phone: (217) 726-9346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Illinois |
Profile Details
| NPI number | 1861489510 |
|---|---|
| LBN Legal business name | Bova, Michael P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Nov 6th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861489510 | NPPES |
| Illinois | Other | P00063271 | RAILROAD MEDICARE |
| Illinois | Other | 088405 | RAILROAD MEDICARE |
| Illinois | Other | 166621 | RAILROAD MEDICARE |
| Illinois | Other | 3003 | RAILROAD MEDICARE |
| Illinois | Other | 08432082 | RAILROAD MEDICARE |
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