Alexander Ivan Banovz | Louisville, KY • PECOS Search

Alexander Ivan Banovz

Social Worker

Behavioral Health & Social Service Providers

800 Zorn Ave, Suite B-708, Louisville, KY 40206-1433

PECOS Enrollment

Based on the most recent information from CMS, provider Alexander Ivan Banovz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1669723169
Provider Type
Individual
Full Name
Banovz, Alexander Ivan
Title
Mr.
Credential
MSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/24/2012
Last Updated
3/6/2015

Contact Information

Practice Location

800 Zorn Ave, Suite B-708, Louisville, KY 40206-1433

Unlisted Fax

Mailing Location

800 Zorn Ave, Suite B-708, Louisville, KY 40206-1433

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer