Divic, Josip
Divic, Josip is an individual health care provider with primary practice located at 100 Michigan St Ne A721, Grand Rapids MI 49503-2560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Divic, Josip can be contacted via phone (616) 391-3139.Contact Information
Primary practice address
100 Michigan St Ne A721
Grand Rapids MI 49503-2560
Phone: (616) 391-3139
Fax: (616) 391-3044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301062325 | Michigan |
Profile Details
| NPI number | 1770587305 |
|---|---|
| LBN Legal business name | Divic, Josip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Mar 2nd, 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 | 1770587305 | NPPES |
| Michigan | MEDICAID | 4198690 |
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