Provider Demographics
| NPI: | 1437130275 |
|---|---|
| Name: | KOVACS, JANE MARIE (MS) |
| Entity type: | Individual |
| Prefix: | MS |
| First Name: | JANE |
| Middle Name: | MARIE |
| Last Name: | KOVACS |
| Suffix: | |
| Gender: | F |
| Credentials: | MS |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 213 1/2 W BROADWAY ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MAUMEE |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 43537-2102 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 419-241-6219 |
| Mailing Address - Fax: | 419-241-5912 |
| Practice Address - Street 1: | 3148 W CENTRAL AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | TOLEDO |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 43606-2920 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 419-241-6219 |
| Practice Address - Fax: | 149-241-5912 |
| Is Sole Proprietor?: | Not Answered |
| Enumeration Date: | 2005-11-09 |
| Last Update Date: | 2025-09-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| OH | A-01120 | 231H00000X, 237600000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | |
| No | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| OH | K00837081 | Medicare ID - Type Unspecified | |
| OH | S45937 | Medicare UPIN |