Novsam, Ned R.

Novsam, Ned R. is an individual health care provider with primary practice located at 6308 8Th Ave Suite 503, Kenosha WI 53143-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Novsam, Ned R. can be contacted via phone (262) 656-8213.

Contact Information

Primary practice address
6308 8Th Ave Suite 503 Kenosha WI 53143-5031
Fax: (262) 656-8233
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0030072 Wisconsin

Profile Details

NPI number 1760413900
LBN Legal business name Novsam, Ned R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 11th, 2009 - about 15 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 1760413900 NPPES
Wisconsin MEDICAID 31494300

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