Novasic, Chad M

Novasic, Chad M is an individual health care provider with primary practice located at 1300 S Greenbay Rd Suite 205, Racine WI 53406-4469. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Novasic, Chad M can be contacted via phone (262) 321-0240.

Contact Information

Primary practice address
1300 S Greenbay Rd Suite 205 Racine WI 53406-4469
Phone: (262) 321-0240
Fax: (262) 321-0242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3549-024 Wisconsin

Profile Details

NPI number 1871511709
LBN Legal business name Novasic, Chad M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871511709 NPPES
Wisconsin MEDICAID 40146900

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