Novak, Thomas A

Novak, Thomas A is an individual health care provider with primary practice located at 206 Cookson Dr , West Branch IA 52358-9632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Novak, Thomas A can be contacted via phone (319) 643-2516.

Contact Information

Primary practice address
206 Cookson Dr West Branch IA 52358-9632
Phone: (319) 643-2516
Fax: (319) 643-5720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25505 Iowa

Profile Details

NPI number 1376581868
LBN Legal business name Novak, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Oct 1st, 2012 - about 14 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 1376581868 NPPES
Iowa MEDICAID 2031815
Iowa Other 080042267

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