Kow, Avis M

Kow, Avis M is an individual health care provider with primary practice located at 2 Essex Center Dr , Peabody MA 01960-2902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kow, Avis M can be contacted via phone (978) 977-4000.

Contact Information

Primary practice address
2 Essex Center Dr Peabody MA 01960-2902
Phone: (978) 977-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35106 Massachusetts

Profile Details

NPI number 1215915301
LBN Legal business name Kow, Avis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 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 1215915301 NPPES
Massachusetts Other K19122 BLUE CROSS
Massachusetts Other PV373 BLUE CROSS
Massachusetts Other 0015275 BLUE CROSS
Massachusetts Other B10452102 BLUE CROSS
Massachusetts MEDICAID 3083578 BLUE CROSS
Massachusetts Other 794897 BLUE CROSS

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