Backonja, Miroslav
Backonja, Miroslav is an individual health care provider with primary practice located at 4225 Roosevelt Way Ne Fl 4 , Seattle WA 98105-6099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Backonja, Miroslav can be contacted via phone (206) 598-4282.Contact Information
Primary practice address
4225 Roosevelt Way Ne Fl 4
Seattle WA 98105-6099
Phone: (206) 598-4282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | MD60527403 | Washington |
Profile Details
| NPI number | 1306818513 |
|---|---|
| LBN Legal business name | Backonja, Miroslav |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Apr 25th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306818513 | NPPES |
| Washington | MEDICAID | 1306818513 |
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