Novotny, Edward J
Novotny, Edward J is an individual health care provider with primary practice located at 4800 Sand Point Way Ne Neurology, M/S B-5552, Seattle WA 98105-3901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Novotny, Edward J can be contacted via phone (206) 987-2078.Contact Information
Primary practice address
4800 Sand Point Way Ne Neurology, M/S B-5552
Seattle WA 98105-3901
Phone: (206) 987-2078
Fax: (206) 987-2649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD60078540 | Washington |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MD60078540 | Washington |
Profile Details
| NPI number | 1851374078 |
|---|---|
| LBN Legal business name | Novotny, Edward J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 23rd, 2012 - about 12 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 | 1851374078 | NPPES |
| Washington | MEDICAID | 0008549560 | |
| Washington | MEDICAID | 001285578 |
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