Provider Demographics
NPI:1215980297
Name:BOOKS, NORVAL LEON (MD)
Entity type:Individual
Prefix:DR
First Name:NORVAL
Middle Name:LEON
Last Name:BOOKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 NORTH 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822-1141
Mailing Address - Country:US
Mailing Address - Phone:308-872-6244
Mailing Address - Fax:
Practice Address - Street 1:1245 NORTH 11TH AVE
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822-1141
Practice Address - Country:US
Practice Address - Phone:308-872-6244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13347207Q00000X
ME016880207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE086470008Medicare PIN
NENA1456015Medicare PIN
ME001044802Medicare PIN
NEB90770Medicare UPIN