Richard M Novak is a Chiropractor in Maryville, Illinois. Richard M Novak practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Richard M Novak is 1083619449. The last update date is 2007-07-08.
Richard M Novak's current location address is 4a Oak Dr, Maryville, Illinois. You can contact this provider via phone number 6182888075 and fax number 6182888095. The mailing address for Richard M Novak is 4a Oak Dr, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard M Novak |
|---|---|
| Address | 4a Oak Dr, Maryville, Illinois |
| Phone Number | 6182888075 |
| Fax Number | 6182888095 |
| Sole Proprietor | N |
| Credentials | DC, CCST |
NPI Number Detail
| NPI Number | 1083619449 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4a Oak Dr |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 6206258090 |
| Phone Number | 6182888075 |
| Fax Number | 6182888095 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2468996 | IL | AETNA | |
| 410486 | IL | HEALTHLINK | |
| 44-90308 | IL | UNITED HEALTH CARE | |
| 63313 | IL | CMR | |
| 6026476 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Richard M Novak's unique identification number?
The Richard M Novak has been assigned the NPI (National Provider Identifier) Number 1083619449 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Richard M Novak is located?
The Richard M Novak is situated at the following address: 4A Oak Dr, Maryville, IL, 6206258090.
What is the area of specialization for Richard M Novak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard M Novak is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Richard M Novak receive the assignment of its 1083619449 from the Centers for Medicare & Medicaid Services?
The Richard M Novak was issued its 1083619449 by the Centers for Medicare & Medicaid Services on 2005-06-14.
As of what date was the information regarding Richard M Novak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard M Novak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.