Koucheravy, John Mark
Koucheravy, John Mark is an individual health care provider with primary practice located at 1643 Rockville Pike Unit B , Rockville MD 20852-7601. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Koucheravy, John Mark can be contacted via phone (301) 811-3121.Contact Information
Primary practice address
1643 Rockville Pike Unit B
Rockville MD 20852-7601
Phone: (301) 811-3121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist | 224L00000X |
Profile Details
| NPI number | 1699245365 |
|---|---|
| LBN Legal business name | Koucheravy, John Mark |
| Credentials | C PED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2018 |
| Last updated | Nov 26th, 2018 - about 7 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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