Provider Demographics
NPI:1457474280
Name:NOVICK, DEBBIE (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:
Last Name:NOVICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 MONTEREY VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3956
Mailing Address - Country:US
Mailing Address - Phone:760-634-9881
Mailing Address - Fax:
Practice Address - Street 1:1017 MONTEREY VISTA WAY
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3956
Practice Address - Country:US
Practice Address - Phone:760-634-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA24540111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition