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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1821227406 | NPPES |
Missouri | MEDICAID | 20023577 | |
Missouri | MEDICAID | ENROLLED |
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