Novak, Glenn Joseph
Novak, Glenn Joseph is an sole proprietor health care provider with primary practice located at 51 Westchester Dr , Youngstown OH 44515-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Novak, Glenn Joseph can be contacted via phone (330) 799-1718.Contact Information
Primary practice address
51 Westchester Dr
Youngstown OH 44515-3902
Phone: (330) 799-1718
Fax: (330) 799-8328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 003058 | Ohio |
Profile Details
| NPI number | 1750380788 |
|---|---|
| LBN Legal business name | Novak, Glenn Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Dec 2nd, 2009 - about 16 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 | 1750380788 | NPPES |
| Ohio | MEDICAID | 0766434 |
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