Individual
DR. DONALD I NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1412 JEFFERSON ROAD, JEFFERSON, PA 15344
(724) 883-3733
Mailing address
PO BOX 211, JEFFERSON, PA 15344-0211
(724) 883-3733
(724) 883-4766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
878
WV
111N00000X
Chiropractor
Primary
DC010188
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770768632
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/09/2008
Last updated
12/03/2019
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