Kowalik, Joanna

Kowalik, Joanna is an individual health care provider with primary practice located at 570 W Brown Rd Desert Vita Behavioral Center, Mesa AZ 85201-3227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Kowalik, Joanna can be contacted via phone (480) 344-2037.

Contact Information

Primary practice address
570 W Brown Rd Desert Vita Behavioral Center Mesa AZ 85201-3227
Fax: (480) 344-2155
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35667 Arizona

Profile Details

NPI number 1063445088
LBN Legal business name Kowalik, Joanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 19th, 2015 - about 9 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 1063445088 NPPES
Arizona MEDICAID 125576

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