Kovan, Bruce S.
Kovan, Bruce S. is an individual health care provider with primary practice located at 37399 Garfield Rd Suite 104, Clinton Township MI 48036-3672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kovan, Bruce S. can be contacted via phone (586) 286-5400.Contact Information
Primary practice address
37399 Garfield Rd Suite 104
Clinton Township MI 48036-3672
Phone: (586) 286-5400
Fax: (586) 263-4831
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 5101008312 | Michigan |
Profile Details
NPI number | 1265494595 |
---|---|
LBN Legal business name | Kovan, Bruce S. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265494595 | NPPES |
Michigan | MEDICAID | 1730497 |
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