Mickiewicz-Marcinkowska, Ewa

Mickiewicz-Marcinkowska, Ewa is an sole proprietor health care provider with primary practice located at 1359 N Grand Ave , Covina CA 91724-1016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mickiewicz-Marcinkowska, Ewa can be contacted via phone (626) 430-2900.

Contact Information

Primary practice address
1359 N Grand Ave Covina CA 91724-1016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD435282 Pennsylvania

Profile Details

NPI number 1235393448
LBN Legal business name Mickiewicz-Marcinkowska, Ewa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2008
Last updated Oct 29th, 2020 - about 4 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 1235393448 NPPES
Pennsylvania MEDICAID 102322768

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