Koval, Olga V

Koval, Olga V is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koval, Olga V can be contacted via phone (864) 560-6012.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Fax: (864) 560-6013
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23398 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 336329 New York

Profile Details

NPI number 1902118979
LBN Legal business name Koval, Olga V
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2010
Last updated Feb 1st, 2021 - about 4 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 1902118979 NPPES
South Carolina Other SCG5965019 MEDICARE PIN
South Carolina MEDICAID NP6368 MEDICARE PIN

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