Novack, Peter Stephen

Novack, Peter Stephen is an individual health care provider with primary practice located at 140 Hill St , Bucyrus OH 44820-1566. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Novack, Peter Stephen can be contacted via phone (419) 563-3247.

Contact Information

Primary practice address
140 Hill St Bucyrus OH 44820-1566
Phone: (419) 563-3247
Fax: (419) 563-3248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 34.005240 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 34005240 Ohio
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 34.005240 Ohio

Profile Details

NPI number 1205868908
LBN Legal business name Novack, Peter Stephen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jun 3rd, 2024 - about 5 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 1205868908 NPPES
Ohio MEDICAID 0824531

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