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Contact Information

WALTER V KOWTONIUK, DO
226 FAIRFIELD AVE
JOHNSTOWN, PA15906
 Phone: 814-535-6167
 Fax: 814-535-5428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for WALTER V KOWTONIUK · (Male)

NPI Number 1972643336
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/07/2007
Last updated 08/03/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS004977L
  • PA Medicaid OS004997L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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