Kovalcik, Paul Jerome

Kovalcik, Paul Jerome is an individual health care provider with primary practice located at 3105 American Legion Road Suite A, Chesapeake VA 23321-5653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Kovalcik, Paul Jerome can be contacted via phone (757) 686-2687.

Contact Information

Primary practice address
3105 American Legion Road Suite A Chesapeake VA 23321-5653
Phone: (757) 686-2687
Fax: (757) 484-1682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0101032355 Virginia

Profile Details

NPI number 1356311286
LBN Legal business name Kovalcik, Paul Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1356311286 NPPES
Virginia MEDICAID 5834961

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