Michael Kovacich in St John - Family Medicine
Michael Kovacich - NPI 1558363309
Michael Kovacich is a Family Medicine in St John, Indiana. Michael Kovacich practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Kovacich is 1558363309. The last update date is 2012-11-28.
Michael Kovacich's current location address is 9660 Wicker Ave, St John, Indiana. You can contact this provider via phone number 2193651166 and fax number 2193658852. The mailing address for Michael Kovacich is 9660 Wicker Ave, St John, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Kovacich |
|---|---|
| Address | 9660 Wicker Ave, St John, Indiana |
| Phone Number | 2193651166 |
| Fax Number | 2193658852 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558363309 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2012-11-28 |
Provider Mailing Address Detail
| Address | 9660 Wicker Ave |
|---|---|
| City | St John |
| State | Indiana (IN) |
| Post Code | 463739487 |
| Phone Number | 2193651166 |
| Fax Number | 2193658852 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01033371A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100212020 | IN | -- | |
| 375704 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Kovacich by the Centers for Medicare & Medicaid Services?
The Michael Kovacich has been issued the NPI (National Provider Identifier) 1558363309 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Michael Kovacich's facilities are situated?
The facilities of Michael Kovacich are physically located at the following address: 9660 Wicker Ave, St John, IN, 463739487.
What is the Michael Kovacich's area of specialization and corresponding taxonomy classification?
The Michael Kovacich's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Michael Kovacich receive its 1558363309 assignment from the Centers for Medicare & Medicaid Services?
The Michael Kovacich was assigned its 1558363309 by the Centers for Medicare & Medicaid Services on 2005-08-11.
As of what date were the Michael Kovacich's details last updated?
The information pertaining to the Michael Kovacich, including its address, specialty, and other details, was most recently updated on 2012-11-28.