Novetsky, Jay I

Novetsky, Jay I is an sole proprietor health care provider with primary practice located at 44650 Delco Blvd , Sterling Heights MI 48313-1024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Novetsky, Jay I can be contacted via phone (586) 254-1770.

Contact Information

Primary practice address
44650 Delco Blvd Sterling Heights MI 48313-1024
Fax: (586) 254-3515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 042263 Michigan

Profile Details

NPI number 1093797003
LBN Legal business name Novetsky, Jay I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Jan 6th, 2011 - about 14 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 1093797003 NPPES
Michigan MEDICAID 3013728
Michigan Other 0500418

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