Kovalchik, Michael T

Kovalchik, Michael T is an sole proprietor health care provider with primary practice located at 780 Litchfield St Suite200, Torrington CT 06790-6268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kovalchik, Michael T can be contacted via phone (860) 489-1984.

Contact Information

Primary practice address
780 Litchfield St Suite200 Torrington CT 06790-6268
Phone: (860) 489-1984
Fax: (860) 496-2195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 020094 Connecticut

Profile Details

NPI number 1124003892
LBN Legal business name Kovalchik, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Dec 3rd, 2009 - about 15 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 1124003892 NPPES
Other 010020094CT01 ANTHEM
Other 539143 ANTHEM
Other P3600333 ANTHEM
Other 00120094800 ANTHEM
MEDICAID 1200948 ANTHEM
Other 752466 ANTHEM
Other 040477 ANTHEM

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