Provider Demographics
NPI:1619084357
Name:JOS A. COVE, M.D., PS
Entity Type:Organization
Organization Name:JOS A. COVE, M.D., PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:COVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-572-2663
Mailing Address - Street 1:1515 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-3933
Mailing Address - Country:US
Mailing Address - Phone:253-572-2663
Mailing Address - Fax:253-272-2642
Practice Address - Street 1:1515 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-3933
Practice Address - Country:US
Practice Address - Phone:253-572-2663
Practice Address - Fax:253-272-2642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040590207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0155512OtherDEPT OF L & I
WA1115534Medicaid
WA1115534Medicaid
WAG72441Medicare UPIN