Nowak, Michael J

Nowak, Michael J is an individual health care provider with primary practice located at 1932 Alcoa Hwy Ste 270 , Knoxville TN 37920-1537. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Nowak, Michael J can be contacted via phone (865) 251-4658.

Contact Information

Primary practice address
1932 Alcoa Hwy Ste 270 Knoxville TN 37920-1537
Phone: (865) 251-4658
Fax: (865) 251-4659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10410 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1692 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3305 Tennessee

Profile Details

NPI number 1811991359
LBN Legal business name Nowak, Michael J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 13th, 2018 - about 7 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 1811991359 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID 41984300

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