Igic, Petar G
Igic, Petar G is an individual health care provider with primary practice located at 6140 W Curtisian Ave Ste 200 , Boise ID 83704-0107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Igic, Petar G can be contacted via phone (208) 302-0000.Contact Information
Primary practice address
6140 W Curtisian Ave Ste 200
Boise ID 83704-0107
Phone: (208) 302-0000
Fax: (208) 302-0055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 49209-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 49209-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M-17812 | Idaho |
Profile Details
| NPI number | 1053365494 |
|---|---|
| LBN Legal business name | Igic, Petar G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 12th, 2024 - about 5 months 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 | 1053365494 | NPPES |
| Wisconsin | MEDICAID | 1053365494 |
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