Nowak, Eugene James

Nowak, Eugene James is an individual health care provider with primary practice located at 2440 Fenton Street Suite 101, Chula Vista CA 91914-3516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Nowak, Eugene James can be contacted via phone (619) 420-1840.

Contact Information

Primary practice address
2440 Fenton Street Suite 101 Chula Vista CA 91914-3516
Phone: (619) 420-1840
Fax: (619) 420-9630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20A7103 California

Profile Details

NPI number 1619055878
LBN Legal business name Nowak, Eugene James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 2nd, 2009 - about 17 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 1619055878 NPPES
California MEDICAID 00AX71031

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