Zawacki, Kevin Edward

Zawacki, Kevin Edward is an individual health care provider with primary practice located at 1312 W. Arch Haven Avenue , Bloomington IN 47403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Zawacki, Kevin Edward can be contacted via phone (812) 676-4144.

Contact Information

Primary practice address
1312 W. Arch Haven Avenue Bloomington IN 47403
Phone: (812) 676-4144
Fax: (812) 339-8344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01074815A Indiana

Profile Details

NPI number 1023189677
LBN Legal business name Zawacki, Kevin Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Dec 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023189677 NPPES
Indiana MEDICAID 201267640

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