Kovac, Cory M

Kovac, Cory M is an individual health care provider with primary practice located at 19350 E Silver Creek Ln , Queen Creek AZ 85142-9064. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kovac, Cory M can be contacted via phone (480) 718-5400.

Contact Information

Primary practice address
19350 E Silver Creek Ln Queen Creek AZ 85142-9064
Phone: (480) 718-5400
Fax: (877) 666-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3363 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3363 Arizona

Profile Details

NPI number 1093753709
LBN Legal business name Kovac, Cory M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Feb 2nd, 2015 - about 9 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 1093753709 NPPES
Arizona MEDICAID 023682

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