Kovachich Ii, Virgil John

Kovachich Ii, Virgil John is an sole proprietor health care provider with primary practice located at 103 School Street Suite D, Barton VT 05822-0156. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kovachich Ii, Virgil John can be contacted via phone (802) 525-4529.

Contact Information

Primary practice address
103 School Street Suite D Barton VT 05822-0156
Phone: (802) 525-4529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000135 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000570 Vermont

Profile Details

NPI number 1386709905
LBN Legal business name Kovachich Ii, Virgil John
Credentials MA,LADC,LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Nov 5th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386709905 NPPES
Vermont MEDICAID 1008371
Vermont Other 391759
Vermont Other 58531

Popular Providers