Dragosljvich, Mittie M

Dragosljvich, Mittie M is an individual health care provider with primary practice located at 525 Branson Landing Blvd , Branson MO 65616-2052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Dragosljvich, Mittie M can be contacted via phone (417) 348-8032.

Contact Information

Primary practice address
525 Branson Landing Blvd Branson MO 65616-2052
Phone: (417) 348-8032
Fax: (417) 348-8152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 2008011533 Missouri

Profile Details

NPI number 1851408934
LBN Legal business name Dragosljvich, Mittie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Dec 27th, 2018 - about 6 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 1851408934 NPPES
Missouri MEDICAID 1851408934
Missouri MEDICAID 207033903

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