Novotny, John

Novotny, John is an individual health care provider with primary practice located at 4704 Ambassador Caffery Pkwy Fl 1 , Lafayette LA 70508-6908. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Novotny, John can be contacted via phone (337) 470-5920.

Contact Information

Primary practice address
4704 Ambassador Caffery Pkwy Fl 1 Lafayette LA 70508-6908
Fax: (855) 431-6868
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 339037 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.145102 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 339037 Louisiana

Profile Details

NPI number 1164983250
LBN Legal business name Novotny, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2019
Last updated Oct 26th, 2023 - about last year

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 1164983250 NPPES
Ohio MEDICAID 0490612

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