Novack, Matthew

Novack, Matthew is an individual health care provider with primary practice located at 240 W Front St , Port Angeles WA 98362-2609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Novack, Matthew can be contacted via phone (360) 452-7891.

Contact Information

Primary practice address
240 W Front St Port Angeles WA 98362-2609
Fax: (360) 452-8087
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD61105776 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD61105776 Washington

Profile Details

NPI number 1659875136
LBN Legal business name Novack, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2018
Last updated Feb 8th, 2024 - about 10 months 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 1659875136 NPPES
Washington MEDICAID 2104109

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