Nowotny, William K

Nowotny, William K is an sole proprietor health care provider with primary practice located at 6505 Market St , Boardman OH 44512-3457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nowotny, William K can be contacted via phone (330) 726-2100.

Contact Information

Primary practice address
6505 Market St Boardman OH 44512-3457
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34007390 Ohio

Profile Details

NPI number 1235170788
LBN Legal business name Nowotny, William K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1235170788 NPPES
Ohio Other P00194541 MEDICARE TRAVELERS RR-GA
Ohio MEDICAID 2190203 MEDICARE TRAVELERS RR-GA
Ohio Other 942460636120 MEDICARE TRAVELERS RR-GA

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