Brian J Novack Dpm Inc

LBN: Brian J Novack Dpm
Brian J Novack Dpm Inc is an health care organization with primary practice located at 29630 Euclid Ave , Wickliffe OH 44092-1829. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Brian J Novack Dpm can be contacted via phone (440) 944-6665, or through Novack, Brian J via phone (440) 944-6665.

Contact Information

Primary practice address
29630 Euclid Ave Wickliffe OH 44092-1829
Phone: (440) 944-6665
Fax: (440) 944-6672
Website:
Map and Directions
Authorized official contact:
Name: Novack, Brian J Doctor of Podiatric Medicine (DPM)
Phone: (440) 944-6665

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 36001391N Ohio

Profile Details

NPI number 1316092844
LBN Legal business name Brian J Novack Dpm
DBA Doing business as Brian J Novack Dpm Inc
Authorized official Novack, Brian J Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Nov 1st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316092844 NPPES
Ohio Other 000000288591 BCBS
Ohio Other 275645717008 BCBS
Ohio MEDICAID 2146270 BCBS

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