Novotny, Steven John

Novotny, Steven John is an individual health care provider with primary practice located at 555 Redbird Cir Ste 300, De Pere WI 54115-7977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Novotny, Steven John can be contacted via phone (920) 338-6870.

Contact Information

Primary practice address
555 Redbird Cir Ste 300 De Pere WI 54115-7977
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39958 Wisconsin

Profile Details

NPI number 1427032069
LBN Legal business name Novotny, Steven John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 27th, 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 1427032069 NPPES
Wisconsin Other 39958 LICENSE

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