Novak, Andreas

Novak, Andreas is an sole proprietor health care provider with primary practice located at 3300 N Butler Ave Suite 204, Farmington NM 87401-5621. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Novak, Andreas can be contacted via phone (505) 327-0505.

Contact Information

Primary practice address
3300 N Butler Ave Suite 204 Farmington NM 87401-5621
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-2364 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X 983043 Colorado

Profile Details

NPI number 1588672935
LBN Legal business name Novak, Andreas
Credentials MSW, LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1588672935 NPPES
New Mexico Other 00JK65 BLUE CROSS/BLUE SHIELD #

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