Ivaskovic, Alexander
Ivaskovic, Alexander is an individual health care provider with primary practice located at 1102 W 32Nd St , Joplin MO 64804-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Ivaskovic, Alexander can be contacted via phone (417) 347-1111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2009004340 | Missouri |
Profile Details
| NPI number | 1831391432 |
|---|---|
| LBN Legal business name | Ivaskovic, Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Oct 19th, 2010 - about 14 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 | 1831391432 | NPPES |
| Minnesota | MEDICAID | 547478000 | |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | MEDICAID | 35222300 | |
| Minnesota | MEDICAID | ENROLLED |
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