Organization
DR. DONNIE NOVAK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ISAAC NOVAK D.C. (OWNER)
(724) 984-7839
Entity
Organization
Contact information
Practice address
1412 JEFFERSON ROAD, JEFFERSON, PA 15344
(724) 883-3733
(724) 883-4766
Mailing address
PO BOX 211, JEFFERSON, PA 15344-0211
(724) 883-3733
(724) 883-4766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010188
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770768632
MOUNTAIN STATE BLUE CROSS BLUE SHIELD
WV
05
—
3810012422
—
WV
01
—
4841943
CIGNA
—
01
—
720936 62Z642
ACN GROUP
WV
01
—
9211153
AETNA
WV
01
—
WV878
HEALTH PLAN OF WEST VIRGINIA
WV
Enumeration date
08/27/2010
Last updated
08/27/2010
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