Koval, Michael
Koval, Michael is an individual health care provider with primary practice located at 499 Farmington Ave Suite 100, Farmington CT 06032-1943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Koval, Michael can be contacted via phone (860) 678-0202.Contact Information
Primary practice address
499 Farmington Ave Suite 100
Farmington CT 06032-1943
Phone: (860) 678-0202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD445310 | Pennsylvania |
Profile Details
| NPI number | 1710246772 |
|---|---|
| LBN Legal business name | Koval, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2012 |
| Last updated | Aug 3rd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710246772 | NPPES |
| Connecticut | MEDICAID | AVRS 004001624 |
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