Novak, Andreas
Novak, Andreas is an sole proprietor health care provider with primary practice located at 3300 N Butler Ave Suite 204, Farmington NM 87401-5621. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Novak, Andreas can be contacted via phone (505) 327-0505.Contact Information
Primary practice address
3300 N Butler Ave Suite 204
Farmington NM 87401-5621
Phone: (505) 327-0505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-2364 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 983043 | Colorado |
Profile Details
| NPI number | 1588672935 |
|---|---|
| LBN Legal business name | Novak, Andreas |
| Credentials | MSW, LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1588672935 | NPPES |
| New Mexico | Other | 00JK65 | BLUE CROSS/BLUE SHIELD # |
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