Miskovich, Peter J

Miskovich, Peter J is an individual health care provider with primary practice located at 1121 Se 4Th Avenue , Grand Rapids MN 55744. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miskovich, Peter J can be contacted via phone (218) 326-3437.

Contact Information

Primary practice address
1121 Se 4Th Avenue Grand Rapids MN 55744
Phone: (218) 326-3437
Fax: (218) 327-1211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11951 Minnesota

Profile Details

NPI number 1780759944
LBN Legal business name Miskovich, Peter J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1780759944 NPPES
Other 1670908 UNITED CONCORDIA
Other 275L7MI UNITED CONCORDIA
Other D11951 UNITED CONCORDIA

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