Kovalick, Jennifer L

Kovalick, Jennifer L is an sole proprietor health care provider with primary practice located at 2801 Wehrle Dr Ste 4 , Williamsville NY 14221-7381. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kovalick, Jennifer L can be contacted via phone (716) 912-9103.

Contact Information

Primary practice address
2801 Wehrle Dr Ste 4 Williamsville NY 14221-7381
Fax: (716) 276-3909
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 927796 New York

Profile Details

NPI number 1912276411
LBN Legal business name Kovalick, Jennifer L
Credentials MS, RDN, CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2011
Last updated Aug 17th, 2022 - about 3 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 1912276411 NPPES
New York Other 48 006121 CDN
New York Other 927796 CDN

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