Nowacki, Michael

Nowacki, Michael is an individual health care provider with primary practice located at 2307 Greene Way , Louisville KY 40220-4009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Nowacki, Michael can be contacted via phone (502) 897-9594.

Contact Information

Primary practice address
2307 Greene Way Louisville KY 40220-4009
Phone: (502) 897-9594
Fax: (502) 896-1808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 38687 Kentucky

Profile Details

NPI number 1821091273
LBN Legal business name Nowacki, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 12th, 2016 - about 8 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 1821091273 NPPES
Indiana MEDICAID 200486840
Indiana MEDICAID 64084213

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