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
Fax: (913) 721-3649
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
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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