Novick, Jason Lyle

Novick, Jason Lyle is an sole proprietor health care provider with primary practice located at 525 Capitola Ave Unit B, Capitola CA 95010-2759. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Novick, Jason Lyle can be contacted via phone (831) 462-2132.

Contact Information

Primary practice address
525 Capitola Ave Unit B Capitola CA 95010-2759
Phone: (831) 462-2132
Fax: (831) 462-2930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4661 California

Profile Details

NPI number 1689630808
LBN Legal business name Novick, Jason Lyle
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Oct 4th, 2012 - about 13 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 1689630808 NPPES
California Other P00363267 RAIL ROAD MEDICARE GROUP MEMBER PTAN

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