Michael Victor Nowack, DPT is a
Physical Therapist based in Spirit Lake, Idaho. Michael Victor Nowack is licensed to practice in Washington (license number PT00009579) and his current practice location is
6186 W Maine, Spirit Lake, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 623-6717.
NPI number for Michael Victor Nowack is 1407940497 and his current mailing address is Po Box 3482, Post Falls, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407940497.
Healthcare Provider's Profile
Full Name | Michael Victor Nowack |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 6186 W Maine, Spirit Lake, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407940497
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 11/30/2015
Medical Identifiers
Medical identifiers for Michael Victor Nowack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407940497 | NPI | - | NPPES |
8446924 | Medicaid | WA | |
0201431 | Other | WA | LABOR AND INDUSTRIES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT00009579 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Victor Nowack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Victor Nowack, DPT Po Box 3482, Post Falls, ID 83877-3482 Ph: (208) 209-6170 | Michael Victor Nowack, DPT 6186 W Maine, Spirit Lake, ID 83869 Ph: (208) 623-6717 |
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