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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891729166 | NPPES |
Florida | MEDICAID | 108927900 | |
Florida | MEDICAID | 1891729166 |
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