Novak, Gregory Daniel

Novak, Gregory Daniel is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Novak, Gregory Daniel can be contacted via phone (928) 639-6180.

Contact Information

Primary practice address
269 S Candy Ln Cottonwood AZ 86326-4158
Phone: (928) 639-6180
Fax: (928) 639-6698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 46598 Minnesota
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 41896 Arizona

Profile Details

NPI number 1275511156
LBN Legal business name Novak, Gregory Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jan 7th, 2016 - about 9 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 1275511156 NPPES
Arizona Other Z154190 MEDICARE PTAN
Arizona MEDICAID 036655200 MEDICARE PTAN
Arizona MEDICAID 438736 MEDICARE PTAN

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