Kovatch, Douglas James

Kovatch, Douglas James is an individual health care provider with primary practice located at 250 2Nd St E , Bradenton FL 34208-1029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kovatch, Douglas James can be contacted via phone (941) 708-8152.

Contact Information

Primary practice address
250 2Nd St E Bradenton FL 34208-1029
Phone: (941) 708-8152
Fax: (941) 708-8136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2006-01354 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME116012 Florida

Profile Details

NPI number 1588759419
LBN Legal business name Kovatch, Douglas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 17th, 2014 - about 12 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 1588759419 NPPES
Florida MEDICAID 008712400

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