Novack, Joel

Novack, Joel is an individual health care provider with primary practice located at 20050 Harvard Road Suite 205, Warrensville Heights OH 44122-6805. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Novack, Joel can be contacted via phone (216) 491-9157.

Contact Information

Primary practice address
20050 Harvard Road Suite 205 Warrensville Heights OH 44122-6805
Fax: (216) 491-7245
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36001391N Ohio

Profile Details

NPI number 1053349894
LBN Legal business name Novack, Joel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 22nd, 2016 - about 8 years ago

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 1053349894 NPPES
Ohio MEDICAID 0525800

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