Covault, Jonathan

Covault, Jonathan is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-6410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Covault, Jonathan can be contacted via phone (860) 679-6703.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-6410
Phone: (860) 679-6703
Fax: (860) 679-1296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 034693 Connecticut

Profile Details

NPI number 1619972395
LBN Legal business name Covault, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 28th, 2022 - about 3 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 1619972395 NPPES
Connecticut MEDICAID 1619972395

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