Kovach, Mark W

Kovach, Mark W is an individual health care provider with primary practice located at 1230 E 1St St , Casper WY 82601-2704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Kovach, Mark W can be contacted via phone (800) 445-3501.

Contact Information

Primary practice address
1230 E 1St St Casper WY 82601-2704
Phone: (800) 445-3501
Fax: (307) 266-3177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036098054 Illinois

Profile Details

NPI number 1336128222
LBN Legal business name Kovach, Mark W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Feb 21st, 2024 - about 9 months 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 1336128222 NPPES
Other P00062332 MEDICARE RAILROAD
MEDICAID 036098054 MEDICARE RAILROAD
MEDICAID 2416040 MEDICARE RAILROAD

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