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

Primary practice address
1102 W 32Nd St Joplin MO 64804-3503
Phone: (417) 347-1111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1831391432 NPPES
Minnesota MEDICAID 547478000
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID 35222300
Minnesota MEDICAID ENROLLED

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