Kovach, Bradley Todd
Kovach, Bradley Todd is an individual health care provider with primary practice located at 801 Anchor Rode Dr Ste 100 , Naples FL 34103-2742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Kovach, Bradley Todd can be contacted via phone (239) 263-1717.Contact Information
Primary practice address
801 Anchor Rode Dr Ste 100
Naples FL 34103-2742
Phone: (239) 263-1717
Fax: (239) 403-9410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2006012910 | Missouri |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME98276 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME98276 | Florida |
Profile Details
| NPI number | 1902828049 |
|---|---|
| LBN Legal business name | Kovach, Bradley Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Oct 6th, 2020 - about 6 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 | 1902828049 | NPPES |
| Other | 208189 | MO-BLUE SHIELD |
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