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Contact Information

ERIN NOVAK, PA-C
1815 N STOCKTON HILL RD
KINGMAN, AZ86401-4667
 Phone: 928-753-9629
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ERIN NOVAK · (Female)

NPI Number 1225662125
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/28/2020
Last updated 03/11/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 8940
  • NV License # PA2273
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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