Kowalenko, Thomas A
Kowalenko, Thomas A is an sole proprietor health care provider with primary practice located at 808 Raritan Rd , Clark NJ 07066-1710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kowalenko, Thomas A can be contacted via phone (732) 381-2100.Contact Information
Primary practice address
808 Raritan Rd
Clark NJ 07066-1710
Phone: (732) 381-2100
Fax: (732) 382-3576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB06592500 | New Jersey |
Profile Details
| NPI number | 1538136429 |
|---|---|
| LBN Legal business name | Kowalenko, Thomas A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 27th, 2010 - about 16 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 | 1538136429 | NPPES |
| New Jersey | MEDICAID | 0026808 |
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