Novotny, John
Novotny, John is an individual health care provider with primary practice located at 4704 Ambassador Caffery Pkwy Fl 1 , Lafayette LA 70508-6908. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Novotny, John can be contacted via phone (337) 470-5920.Contact Information
Primary practice address
4704 Ambassador Caffery Pkwy Fl 1
Lafayette LA 70508-6908
Phone: (337) 470-5920
Fax: (855) 431-6868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 339037 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.145102 | Ohio |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 339037 | Louisiana |
Profile Details
| NPI number | 1164983250 |
|---|---|
| LBN Legal business name | Novotny, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2019 |
| Last updated | Oct 26th, 2023 - about 3 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 | 1164983250 | NPPES |
| Ohio | MEDICAID | 0490612 |
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