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Individual
DR. JANE ELIZABETH NOWOTNY
Active
Individual
DR. JANE ELIZABETH NOWOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
665
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119612
ANTHEM
—
05
—
0330261
—
OH
Enumeration date
10/17/2006
Last updated
12/16/2010
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