Povich, Mark A
Povich, Mark A is an individual health care provider with primary practice located at 3409 Ludington St Suite 104, Escanaba MI 49829-4212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Povich, Mark A can be contacted via phone (906) 786-5707.Contact Information
Primary practice address
3409 Ludington St Suite 104
Escanaba MI 49829-4212
Phone: (906) 786-5707
Fax: (906) 789-4430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101009167 | Michigan |
Profile Details
| NPI number | 1164433546 |
|---|---|
| LBN Legal business name | Povich, Mark A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1164433546 | NPPES |
| Michigan | MEDICAID | 3294610 |
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