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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1194881094 NPPES
New Jersey Other D01825500 CDS #
New Jersey MEDICAID 0699209 CDS #
New Jersey Other 25MA03039400 CDS #

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