Miovic, Michael K

Miovic, Michael K is an individual health care provider with primary practice located at Primary Care 1400 Vfw Parkway, West Roxbury MA 02132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Miovic, Michael K can be contacted via phone (857) 203-4025.

Contact Information

Primary practice address
Primary Care 1400 Vfw Parkway West Roxbury MA 02132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 210144 Massachusetts

Profile Details

NPI number 1275585754
LBN Legal business name Miovic, Michael K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 30th, 2023 - about 2 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 1275585754 NPPES
Massachusetts MEDICAID 110004643/A

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