Novotny, Joseph A

Novotny, Joseph A is an individual health care provider with primary practice located at 1111 Trinity Lane Suite 111, Bloomington IL 61704-3738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Novotny, Joseph A can be contacted via phone (309) 663-6461.

Contact Information

Primary practice address
1111 Trinity Lane Suite 111 Bloomington IL 61704-3738
Phone: (309) 663-6461
Fax: (309) 663-5711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036092322 Illinois

Profile Details

NPI number 1881601144
LBN Legal business name Novotny, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 27th, 2021 - about 3 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 1881601144 NPPES
Illinois MEDICAID 036092322

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