Kovachik, Diane M

Kovachik, Diane M is an individual health care provider with primary practice located at 95 Arch St #165, Akron OH 44304-1437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kovachik, Diane M can be contacted via phone (330) 375-4848.

Contact Information

Primary practice address
95 Arch St #165 Akron OH 44304-1437
Phone: (330) 375-4848
Fax: (330) 376-4066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-000807 Ohio

Profile Details

NPI number 1346388386
LBN Legal business name Kovachik, Diane M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Apr 18th, 2016 - about 8 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 1346388386 NPPES
Ohio Other 9338635 PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
Ohio MEDICAID 0067361 PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
Ohio Other 1841239274 PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
Ohio Other 2551671 PARTNERS PHYSICIAN GROUP MEDICARE GROUP #

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