Novack, Robert H

Novack, Robert H is an sole proprietor health care provider with primary practice located at 90 Riviera Dr , Lake Havasu City AZ 86403-5716. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Novack, Robert H can be contacted via phone (928) 855-7800.

Contact Information

Primary practice address
90 Riviera Dr Lake Havasu City AZ 86403-5716
Phone: (928) 855-7800
Fax: (928) 855-5392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0180 Arizona
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0180 Arizona

Profile Details

NPI number 1386614923
LBN Legal business name Novack, Robert H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Apr 9th, 2012 - about 14 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 1386614923 NPPES
Arizona Other AZ0065230 BCBS AZ
Arizona MEDICAID 700048 BCBS AZ

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