Kovan, Jeffrey Richard

Kovan, Jeffrey Richard is an individual health care provider with primary practice located at 4660 S Hagadorn Rd Ste 420 , East Lansing MI 48823-5353. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kovan, Jeffrey Richard can be contacted via phone (517) 884-6100.

Contact Information

Primary practice address
4660 S Hagadorn Rd Ste 420 East Lansing MI 48823-5353
Phone: (517) 884-6100
Fax: (517) 884-6233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101010030 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5101010030 Michigan

Profile Details

NPI number 1902819162
LBN Legal business name Kovan, Jeffrey Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 13th, 2011 - about 13 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 1902819162 NPPES
Michigan MEDICAID 1902819162
Michigan MEDICAID 3194525

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