Kovalszki, Peter A
Kovalszki, Peter A is an individual health care provider with primary practice located at 133 S Main St Suite D, Mount Clemens MI 48043-2308. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kovalszki, Peter A can be contacted via phone (586) 465-1326.Contact Information
Primary practice address
133 S Main St Suite D
Mount Clemens MI 48043-2308
Phone: (586) 465-1326
Fax: (586) 465-0329
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 4301052134 | Michigan |
Profile Details
NPI number | 1114924248 |
---|---|
LBN Legal business name | Kovalszki, Peter A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2005 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114924248 | NPPES |
Michigan | MEDICAID | 267880 |
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