Novotny, Ian Anthony
Novotny, Ian Anthony is an sole proprietor health care provider with primary practice located at 9201 W Sunset Blvd M120, West Hollywood CA 90069-3701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Novotny, Ian Anthony can be contacted via phone (310) 246-1050.Contact Information
Primary practice address
9201 W Sunset Blvd M120
West Hollywood CA 90069-3701
Phone: (310) 246-1050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | PT28753 | California |
Profile Details
| NPI number | 1134227598 |
|---|---|
| LBN Legal business name | Novotny, Ian Anthony |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Apr 2nd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134227598 | NPPES |
| California | Other | PT28753 | LICENSE |
| California | Other | 205559183 | LICENSE |
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