Kovick, Leanne M

Kovick, Leanne M is an sole proprietor health care provider with primary practice located at 2006 Blaine St , Caldwell ID 83605-4343. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, which is considered as her primary health care specialty. Kovick, Leanne M can be contacted via phone (208) 985-5404.

Contact Information

Primary practice address
2006 Blaine St Caldwell ID 83605-4343
Phone: (208) 985-5404
Fax: (208) 402-5959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X CFM02746 Idaho

Profile Details

NPI number 1962804120
LBN Legal business name Kovick, Leanne M
Credentials CFM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2014
Last updated Dec 7th, 2015 - about 10 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 1962804120 NPPES
Idaho MEDICAID 1962804120

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