Kovan, Richard J

Kovan, Richard J is an individual health care provider with primary practice located at 4555 E Mayo Blvd , Phoenix AZ 85050-6952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kovan, Richard J can be contacted via phone (480) 948-1398.

Contact Information

Primary practice address
4555 E Mayo Blvd Phoenix AZ 85050-6952
Phone: (480) 948-1398
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 45968 Arizona

Profile Details

NPI number 1891751509
LBN Legal business name Kovan, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Nov 9th, 2020 - about 4 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 1891751509 NPPES
Arizona MEDICAID 829039

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