Novakovich, Paul M
Novakovich, Paul M is an individual health care provider with primary practice located at 1200 S Farmerville St , Ruston LA 71270-5941. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Novakovich, Paul M can be contacted via phone (318) 255-3690.Contact Information
Primary practice address
1200 S Farmerville St
Ruston LA 71270-5941
Phone: (318) 255-3690
Fax: (318) 251-6177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME108790 | Florida |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 205711 | Louisiana |
Profile Details
| NPI number | 1023227683 |
|---|---|
| LBN Legal business name | Novakovich, Paul M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Apr 12th, 2017 - about 8 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 | 1023227683 | NPPES |
| Alabama | MEDICAID | 129805 | |
| Alabama | Other | 593-07447 | |
| Alabama | Other | 593-07448 | |
| Alabama | MEDICAID | 003720500 | |
| Alabama | Other | 14E9E | |
| Alabama | MEDICAID | 129809 |
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