Kowalski, Scott M

Kowalski, Scott M is an individual health care provider with primary practice located at 1564 Kingsley Ave , Orange Park FL 32073-4521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kowalski, Scott M can be contacted via phone (904) 264-8801.

Contact Information

Primary practice address
1564 Kingsley Ave Orange Park FL 32073-4521
Phone: (904) 264-8801
Fax: (904) 621-0566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5101016005 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X OS16975 Florida

Profile Details

NPI number 1891729166
LBN Legal business name Kowalski, Scott M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 2nd, 2023 - about last year

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 1891729166 NPPES
Florida MEDICAID 108927900
Florida MEDICAID 1891729166

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