Bogunovic, Ljiljana

Bogunovic, Ljiljana is an individual health care provider with primary practice located at N15W28300 Golf Rd , Pewaukee WI 53072-4800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Bogunovic, Ljiljana can be contacted via phone (262) 303-5055.

Contact Information

Primary practice address
N15W28300 Golf Rd Pewaukee WI 53072-4800
Phone: (262) 303-5055
Fax: (262) 303-5057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2015013276 Missouri

Profile Details

NPI number 1821227406
LBN Legal business name Bogunovic, Ljiljana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2009
Last updated Jan 13th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821227406 NPPES
Missouri MEDICAID 20023577
Missouri MEDICAID ENROLLED

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