Novak, Jan

Novak, Jan is an individual health care provider with primary practice located at 462 Grider St , Buffalo NY 14215-3021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Novak, Jan can be contacted via phone (716) 898-3391.

Contact Information

Primary practice address
462 Grider St Buffalo NY 14215-3021
Phone: (716) 898-3391
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 109754 New York

Profile Details

NPI number 1427096239
LBN Legal business name Novak, Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 23rd, 2011 - about 15 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 1427096239 NPPES
New York Other 2306955 INDEPENDENT HEALTH
New York Other 000507825003 INDEPENDENT HEALTH
New York MEDICAID 00626811 INDEPENDENT HEALTH
New York Other 00010128301 INDEPENDENT HEALTH

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