Provider Demographics
NPI:1962891184
Name:KOVACS, WILLIAM (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:KOVACS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PROSPECT LN
Mailing Address - Street 2:SUITE 1-D
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-3010
Mailing Address - Country:US
Mailing Address - Phone:732-827-0028
Mailing Address - Fax:732-827-0018
Practice Address - Street 1:15 PROSPECT LN
Practice Address - Street 2:SUITE 1-D
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-3010
Practice Address - Country:US
Practice Address - Phone:732-827-0028
Practice Address - Fax:732-827-0018
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC3855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor