Kovacik, Thomas Michael

Kovacik, Thomas Michael is an individual health care provider with primary practice located at 1128 Monroe Street , Galesburg IL 61401-2542. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kovacik, Thomas Michael can be contacted via phone (309) 342-9147.

Contact Information

Primary practice address
1128 Monroe Street Galesburg IL 61401-2542
Phone: (309) 342-9147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1003928508
LBN Legal business name Kovacik, Thomas Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1003928508 NPPES
Other 04832003 BLUE CROSS BLUE SHIELD

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