Novak, Timothy Stephen

Novak, Timothy Stephen is an individual health care provider with primary practice located at 1111 Delafield St Suite 222, Waukesha WI 53188-3417. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Novak, Timothy Stephen can be contacted via phone (262) 547-8665.

Contact Information

Primary practice address
1111 Delafield St Suite 222 Waukesha WI 53188-3417
Phone: (262) 547-8665
Fax: (262) 547-4328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4362 Wisconsin

Profile Details

NPI number 1194832824
LBN Legal business name Novak, Timothy Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1194832824 NPPES
Wisconsin Other 10571 DEANCARE HMO
Wisconsin MEDICAID 33709900 DEANCARE HMO
Wisconsin Other 2011072002 DEANCARE HMO
Wisconsin Other 759310 DEANCARE HMO
Wisconsin Other 1008606 DEANCARE HMO

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