Novak, Matthew John

Novak, Matthew John is an individual health care provider with primary practice located at 208 Hospital Pkwy , Mount Vernon WA 98274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Novak, Matthew John can be contacted via phone (360) 428-2550.

Contact Information

Primary practice address
208 Hospital Pkwy Mount Vernon WA 98274
Phone: (360) 428-2550
Fax: (360) 814-8390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD60878072 Washington

Profile Details

NPI number 1871775122
LBN Legal business name Novak, Matthew John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 5th, 2018 - about 7 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 1871775122 NPPES
Washington MEDICAID 2107794
Washington Other GU040072
Washington MEDICAID 02985266
Washington MEDICAID 1021675260001

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