Kowalenko, Terry

Kowalenko, Terry is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-6712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kowalenko, Terry can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-6712
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301058183 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 81850 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 058183 Michigan

Profile Details

NPI number 1023045085
LBN Legal business name Kowalenko, Terry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 14th, 2019 - about 5 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 1023045085 NPPES
Michigan MEDICAID 4369018
Michigan Other TK058183
Michigan MEDICAID 104362302

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