Coverdell, Lubov M
Coverdell, Lubov M is an individual health care provider with primary practice located at 11470 Business Blvd Ste 100, Eagle River AK 99577-7721. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Coverdell, Lubov M can be contacted via phone (907) 622-4325.Contact Information
Primary practice address
11470 Business Blvd Ste 100
Eagle River AK 99577-7721
Phone: (907) 622-4325
Fax: (907) 622-4326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | AK5172 | Alaska |
Profile Details
| NPI number | 1578614756 |
|---|---|
| LBN Legal business name | Coverdell, Lubov M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1578614756 | NPPES |
| Alaska | MEDICAID | MD5172 | |
| Alaska | Other | AK5172 | |
| Alaska | MEDICAID | MD51721 |
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