Novak, Edwin A

Novak, Edwin A is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Novak, Edwin A can be contacted via phone (218) 732-2800.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8935 Minnesota

Profile Details

NPI number 1750328563
LBN Legal business name Novak, Edwin A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 23rd, 2012 - about 12 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 1750328563 NPPES
Minnesota Other 121640 UCARE #
Minnesota MEDICAID 1750328563 UCARE #
Minnesota Other 73A13NO UCARE #
Minnesota Other DA9041015688 UCARE #
Minnesota Other 0121199 UCARE #
Minnesota Other 73A11NO UCARE #
Minnesota Other 18231 UCARE #
Minnesota Other HP25821 UCARE #
Minnesota Other 0111296 UCARE #
Minnesota Other 0111297 UCARE #
Minnesota MEDICAID 022387500 UCARE #
Minnesota Other 975261 UCARE #

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