Bova, Michael P

Bova, Michael P is an individual health care provider with primary practice located at 2524 Farragut Dr Suite C, Springfield IL 62704-8400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bova, Michael P can be contacted via phone (217) 726-9346.

Contact Information

Primary practice address
2524 Farragut Dr Suite C Springfield IL 62704-8400
Phone: (217) 726-9346
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1861489510
LBN Legal business name Bova, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 6th, 2007 - about 19 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 1861489510 NPPES
Illinois Other P00063271 RAILROAD MEDICARE
Illinois Other 088405 RAILROAD MEDICARE
Illinois Other 166621 RAILROAD MEDICARE
Illinois Other 3003 RAILROAD MEDICARE
Illinois Other 08432082 RAILROAD MEDICARE

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