Novak, Diana Lynn
Novak, Diana Lynn is an individual health care provider with primary practice located at 3960 W Royal Dr , Traverse City MI 49684-9200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Novak, Diana Lynn can be contacted via phone (231) 947-0404.Contact Information
Primary practice address
3960 W Royal Dr
Traverse City MI 49684-9200
Phone: (231) 947-0404
Fax: (231) 947-2190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301076485 | Michigan |
Profile Details
| NPI number | 1053362186 |
|---|---|
| LBN Legal business name | Novak, Diana Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | May 15th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053362186 | NPPES |
| Other | 11301109 | CAQH | |
| MEDICAID | 5271015 | CAQH |
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