Micic, Ljubisa
Micic, Ljubisa is an sole proprietor health care provider with primary practice located at 2604 169Th St , Flushing NY 11358-1131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Micic, Ljubisa can be contacted via phone (347) 438-1950.Contact Information
Primary practice address
2604 169Th St
Flushing NY 11358-1131
Phone: (347) 438-1950
Fax: (347) 438-1951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 212787 | New York |
Profile Details
| NPI number | 1750395000 |
|---|---|
| LBN Legal business name | Micic, Ljubisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2006 |
| Last updated | May 9th, 2013 - about 12 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 | 1750395000 | NPPES |
| New York | MEDICAID | 01894586 |
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