Novotny, Larry Lee

Novotny, Larry Lee is an individual health care provider with primary practice located at 614 Hawthorne St , Alexandria MN 56308-1661. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Novotny, Larry Lee can be contacted via phone (320) 762-2309.

Contact Information

Primary practice address
614 Hawthorne St Alexandria MN 56308-1661
Phone: (320) 762-2309
Fax: (320) 762-2300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1962 Minnesota

Profile Details

NPI number 1295814879
LBN Legal business name Novotny, Larry Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 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 1295814879 NPPES
Minnesota Other 44-48002 MEDICA PIN #
Minnesota Other 4C812NO MEDICA PIN #

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