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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1003881442 NPPES
Arizona MEDICAID 789232
Arizona Other 3Z3939

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