Novara, Derek J

Novara, Derek J is an individual health care provider with primary practice located at 18100 Oakwood Blvd Suite 100, Dearborn MI 48124-4071. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Novara, Derek J can be contacted via phone (313) 253-2000.

Contact Information

Primary practice address
18100 Oakwood Blvd Suite 100 Dearborn MI 48124-4071
Phone: (313) 253-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704212578 Michigan

Profile Details

NPI number 1427002310
LBN Legal business name Novara, Derek J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1427002310 NPPES
Michigan MEDICAID 4835527
Michigan MEDICAID 4394656

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