Klisovic, Rebecca B.

Klisovic, Rebecca B. is an individual health care provider with primary practice located at 1365 Clifton Rd Ne , Atlanta GA 30322-1280. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Klisovic, Rebecca B. can be contacted via phone (404) 778-3932.

Contact Information

Primary practice address
1365 Clifton Rd Ne Atlanta GA 30322-1280
Fax: (404) 778-4755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 35079648 Ohio
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 78405 Georgia

Profile Details

NPI number 1417962945
LBN Legal business name Klisovic, Rebecca B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 21st, 2017 - about 8 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 1417962945 NPPES
Ohio MEDICAID 2282239

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