Novack, Brian

Novack, Brian is an sole proprietor health care provider with primary practice located at 29630 Euclid Ave , Wickliffe OH 44092-1829. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Novack, Brian can be contacted via phone (440) 944-6665.

Contact Information

Primary practice address
29630 Euclid Ave Wickliffe OH 44092-1829
Phone: (440) 944-6665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-2998-N Ohio

Profile Details

NPI number 1598762924
LBN Legal business name Novack, Brian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Feb 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598762924 NPPES
Ohio Other 480031313 MEDICARE RAILROAD
Ohio Other DD0381 MEDICARE RAILROAD
Ohio Other P00269217 MEDICARE RAILROAD
Ohio Other CH5179 MEDICARE RAILROAD
Ohio MEDICAID 2146270 MEDICARE RAILROAD

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