Coralic, Jasna

Coralic, Jasna is an individual health care provider with primary practice located at 2350 N Lake Dr Suite 304, Milwaukee WI 53211-4528. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Coralic, Jasna can be contacted via phone (414) 298-7233.

Contact Information

Primary practice address
2350 N Lake Dr Suite 304 Milwaukee WI 53211-4528
Phone: (414) 298-7233
Fax: (414) 298-7229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 62416-20 Wisconsin
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 62416-20 Wisconsin

Profile Details

NPI number 1528296753
LBN Legal business name Coralic, Jasna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Nov 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528296753 NPPES
Wisconsin MEDICAID 1528296753

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