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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1770587305 NPPES
Michigan MEDICAID 4198690

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