Nowachek, Glen A
Nowachek, Glen A is an individual health care provider with primary practice located at 2608 Hospital Rd , Goldsboro NC 27534-9423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nowachek, Glen A can be contacted via phone (919) 735-3464.Contact Information
Primary practice address
2608 Hospital Rd
Goldsboro NC 27534-9423
Phone: (919) 735-3464
Fax: (919) 735-0080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 39206 | North Carolina |
Profile Details
| NPI number | 1336197821 |
|---|---|
| LBN Legal business name | Nowachek, Glen A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Feb 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 | 1336197821 | NPPES |
| North Carolina | MEDICAID | 8963407 |
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