Novak, Diana Lynn

Novak, Diana Lynn is an individual health care provider with primary practice located at 3960 W Royal Dr , Traverse City MI 49684-9200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Novak, Diana Lynn can be contacted via phone (231) 947-0404.

Contact Information

Primary practice address
3960 W Royal Dr Traverse City MI 49684-9200
Phone: (231) 947-0404
Fax: (231) 947-2190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301076485 Michigan

Profile Details

NPI number 1053362186
LBN Legal business name Novak, Diana Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated May 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053362186 NPPES
Other 11301109 CAQH
MEDICAID 5271015 CAQH

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