Novak, Dennis Earl
Novak, Dennis Earl is an sole proprietor health care provider with primary practice located at 1001 Lacey Road , Forked River NJ 08731-0780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Novak, Dennis Earl can be contacted via phone (609) 693-8900.Contact Information
Primary practice address
1001 Lacey Road
Forked River NJ 08731-0780
Phone: (609) 693-8900
Fax: (609) 971-2888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA03039400 | New Jersey |
Profile Details
| NPI number | 1194881094 |
|---|---|
| LBN Legal business name | Novak, Dennis Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194881094 | NPPES |
| New Jersey | Other | D01825500 | CDS # |
| New Jersey | MEDICAID | 0699209 | CDS # |
| New Jersey | Other | 25MA03039400 | CDS # |
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