Novak, Vicki Lynn

Novak, Vicki Lynn is an individual health care provider with primary practice located at 110 Jefferson St , West Union IA 52175-1022. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Novak, Vicki Lynn can be contacted via phone (563) 422-3817.

Contact Information

Primary practice address
110 Jefferson St West Union IA 52175-1022
Phone: (563) 422-3817
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3385 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2211 Iowa

Profile Details

NPI number 1730132010
LBN Legal business name Novak, Vicki Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 28th, 2015 - about 11 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 1730132010 NPPES
Arizona MEDICAID 021430001

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