Individual
MICHAEL KOVACICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9660 WICKER AVE, STE 100E, ST JOHN, IN 46373-9487
(219) 365-1166
(219) 365-8852
Mailing address
9660 WICKER AVE, STE 100E, ST JOHN, IN 46373-9487
(219) 365-1166
(219) 365-8852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01033371A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375704
ANTHEM
IN
05
—
100212020
—
IN
Enumeration date
08/11/2005
Last updated
11/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us