Nowak, Deborah M.
Nowak, Deborah M. is an sole proprietor health care provider with primary practice located at 6565 France Ave S Ste 350 , Edina MN 55435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Nowak, Deborah M. can be contacted via phone (612) 389-1093.Contact Information
Primary practice address
6565 France Ave S Ste 350
Edina MN 55435
Phone: (612) 389-1093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 48182 | Minnesota |
Profile Details
| NPI number | 1386674547 |
|---|---|
| LBN Legal business name | Nowak, Deborah M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jun 21st, 2019 - about 5 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 | 1386674547 | NPPES |
| Minnesota | MEDICAID | 096028400 |
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