Ivancic, Milan Edward
Ivancic, Milan Edward is an individual health care provider with primary practice located at 499 Gloster Creek Vlg Suite H-3, Tupelo MS 38801-4600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ivancic, Milan Edward can be contacted via phone (662) 840-6026.Contact Information
Primary practice address
499 Gloster Creek Vlg Suite H-3
Tupelo MS 38801-4600
Phone: (662) 840-6026
Fax: (662) 840-6030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 08988 | Mississippi |
Profile Details
| NPI number | 1023034477 |
|---|---|
| LBN Legal business name | Ivancic, Milan Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jan 17th, 2023 - about 2 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 | 1023034477 | NPPES |
| Mississippi | MEDICAID | 00111471 |
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