Novack, Eric N
Novack, Eric N is an individual health care provider with primary practice located at 2902 W Agua Fria Fwy Ste 1090 , Phoenix AZ 85027-3970. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Novack, Eric N can be contacted via phone (602) 648-5444.Contact Information
Primary practice address
2902 W Agua Fria Fwy Ste 1090
Phoenix AZ 85027-3970
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 29419 | Arizona |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 29419 | Arizona |
Profile Details
| NPI number | 1003881442 |
|---|---|
| LBN Legal business name | Novack, Eric N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jul 26th, 2022 - about 4 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 | 1003881442 | NPPES |
| Arizona | MEDICAID | 789232 | |
| Arizona | Other | 3Z3939 |
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