Milanovich, Samuel Jacob
Milanovich, Samuel Jacob is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Milanovich, Samuel Jacob can be contacted via phone (701) 234-2000.Contact Information
Primary practice address
801 Broadway N
Fargo ND 58102-3641
Phone: (701) 234-2000
Fax: (701) 234-2345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9226 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 54187 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD436889 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 9226 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | PT16066 | North Dakota |
Profile Details
| NPI number | 1669682837 |
|---|---|
| LBN Legal business name | Milanovich, Samuel Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Oct 30th, 2019 - about 5 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 | 1669682837 | NPPES |
| Wisconsin | MEDICAID | 1669682837 |
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