Dr. Terry Kowalenko
Emergency Physician Emergency Medical Services
171 Ashley Ave
Charleston
, South Carolina 29425-6712
Dr. Terry Kowalenko
Emergency Physician Emergency Medical Services
171 Ashley Ave
Charleston
, South Carolina 29425-6712
(843) 792-6200
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Terry Kowalenko
- Po Box 751461
- Charlotte, NC
- Zip : 28275-1461
- Phone : (843) 792-6200
Second Address
- Dr. Terry Kowalenko
- 171 Ashley Ave
- Charleston, SC
- Zip : 29425-6712
- Phone : (843) 792-1414
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FAQs
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Is Dr. Terry Kowalenko a sole practitioner?
Is Dr. Terry Kowalenko accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 4301058183 | MI |
| Y | 207P00000X | Emergency Physician | 81850 | SC |
| N | 207PE0004X | Emergency Medical Services | 058183 | MI |
National Provider Identifier
| NPI | 1023045085 |
|---|---|
| Provider Name | Dr. Terry Kowalenko |
| First Address | Charlotte, NC 28275-1461 |
| Second Address | Charleston, SC 29425-6712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 14/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104362302 | (05) | MI |
| 4369018 | (05) | MI |
| E88312 | (02) | |
| E88312 | (02) | MI |
| TK058183 | BLUE SHIELD (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.