Novack, Matthew
Novack, Matthew is an individual health care provider with primary practice located at 240 W Front St , Port Angeles WA 98362-2609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Novack, Matthew can be contacted via phone (360) 452-7891.Contact Information
Primary practice address
240 W Front St
Port Angeles WA 98362-2609
Phone: (360) 452-7891
Fax: (360) 452-8087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD61105776 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD61105776 | Washington |
Profile Details
| NPI number | 1659875136 |
|---|---|
| LBN Legal business name | Novack, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2018 |
| Last updated | Feb 8th, 2024 - about 2 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 | 1659875136 | NPPES |
| Washington | MEDICAID | 2104109 |
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