Novoa, Jose R

Novoa, Jose R is an sole proprietor health care provider with primary practice located at 140 S 77Th St Workfit, Omaha NE 68114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Novoa, Jose R can be contacted via phone (402) 934-4535.

Contact Information

Primary practice address
140 S 77Th St Workfit Omaha NE 68114
Fax: (402) 934-5939
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17836 Nebraska
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 17836 Nebraska

Profile Details

NPI number 1770533606
LBN Legal business name Novoa, Jose R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Aug 13th, 2014 - about 10 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 1770533606 NPPES
Other 010051130 RAILROAD MEDICARE
Other 002475 RAILROAD MEDICARE
MEDICAID 47064207113 RAILROAD MEDICARE
MEDICAID 0972984 RAILROAD MEDICARE

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