Kovachevich, Christa J

Kovachevich, Christa J is an individual health care provider with primary practice located at 1307 Crook Ave , Cheyenne WY 82001-5412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kovachevich, Christa J can be contacted via phone (321) 313-3595.

Contact Information

Primary practice address
1307 Crook Ave Cheyenne WY 82001-5412
Phone: (321) 313-3595
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 9390419 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 43135 Wyoming

Profile Details

NPI number 1649642034
LBN Legal business name Kovachevich, Christa J
Credentials ARNP, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2015
Last updated Aug 8th, 2019 - about 6 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 1649642034 NPPES
Florida MEDICAID 016218600

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