Covillo, Jean M
Covillo, Jean M is an sole proprietor health care provider with primary practice located at 1701 S 45Th St Suite A, Kansas City KS 66106-2527. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Covillo, Jean M can be contacted via phone (913) 721-3641.Contact Information
Primary practice address
1701 S 45Th St Suite A
Kansas City KS 66106-2527
Phone: (913) 721-3641
Fax: (913) 721-3649
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 108523 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 108523 | Missouri |
Profile Details
NPI number | 1003898453 |
---|---|
LBN Legal business name | Covillo, Jean M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 18th, 2005 |
Last updated | Feb 12th, 2015 - about 9 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 | 1003898453 | NPPES |
Missouri | Other | 66048A005 | WPS TRICARE |
Missouri | Other | P00369535 | WPS TRICARE |
Missouri | MEDICAID | 918614223 | WPS TRICARE |
Missouri | Other | 25266032 | WPS TRICARE |
Missouri | Other | 145350 | WPS TRICARE |
Missouri | Other | 10770 | WPS TRICARE |
Missouri | Other | P00395162 | WPS TRICARE |
Missouri | Other | 406B00014 | WPS TRICARE |
Missouri | Other | 10001514701 | WPS TRICARE |
Missouri | MEDICAID | 100254420E | WPS TRICARE |
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