Nowak, Michael L

Nowak, Michael L is an individual health care provider with primary practice located at 350 W Country Club Rd Ste# 203, Roswell NM 88201-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nowak, Michael L can be contacted via phone (575) 624-4646.

Contact Information

Primary practice address
350 W Country Club Rd Ste# 203 Roswell NM 88201-5205
Phone: (575) 624-4646
Fax: (575) 625-8498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2619 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A-1602-11 New Mexico

Profile Details

NPI number 1558360131
LBN Legal business name Nowak, Michael L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 16th, 2014 - about 12 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 1558360131 NPPES
New Mexico Other NPI & TIN# BCBS OF NM
New Mexico Other 000000007795 BCBS OF NM
New Mexico MEDICAID 0457349 BCBS OF NM
New Mexico Other 310884319026 BCBS OF NM
New Mexico Other 2380630 BCBS OF NM
New Mexico Other 160029113 BCBS OF NM
New Mexico MEDICAID 40004279 BCBS OF NM
New Mexico Other 4341671 BCBS OF NM

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