Jovonovich, Stephen Michael
Jovonovich, Stephen Michael is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Jovonovich, Stephen Michael can be contacted via phone (317) 491-6000.Contact Information
Primary practice address
1111 Ronald Reagan Pkwy
Avon IN 46123-7085
Phone: (317) 491-6000
Fax: (317) 491-6534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 01073174A | Indiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01073174A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 01073174A | Indiana |
Profile Details
| NPI number | 1457594145 |
|---|---|
| LBN Legal business name | Jovonovich, Stephen Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2009 |
| Last updated | Sep 8th, 2022 - about 3 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 | 1457594145 | NPPES |
| Indiana | Other | 824330011 | MEDICARE |
| Indiana | MEDICAID | 201316950 | MEDICARE |
| Indiana | Other | 068010198 | MEDICARE |
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