Novikoff, Megan Theresa

Novikoff, Megan Theresa is an individual health care provider with primary practice located at 3200 Silver Street Hms Shs Wellness Center, Silver City NM 88061-7283. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Novikoff, Megan Theresa can be contacted via phone (575) 388-1511.

Contact Information

Primary practice address
3200 Silver Street Hms Shs Wellness Center Silver City NM 88061-7283
Phone: (575) 388-1511
Fax: (575) 542-2388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 165097 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2015-0013 New Mexico

Profile Details

NPI number 1720416431
LBN Legal business name Novikoff, Megan Theresa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2013
Last updated Jan 11th, 2017 - about 9 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 1720416431 NPPES
New Mexico MEDICAID 60902230

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