Stikovac, Mio M

Stikovac, Mio M is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Stikovac, Mio M can be contacted via phone (702) 653-3257.

Contact Information

Primary practice address
4700 Las Vegas Blvd N Nellis Afb NV 89191
Phone: (702) 653-3257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01049387A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30015 Kentucky

Profile Details

NPI number 1134205735
LBN Legal business name Stikovac, Mio M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 16th, 2018 - about 7 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 1134205735 NPPES
Indiana MEDICAID 200059360
Indiana Other 3121962
Indiana Other 060057636
Indiana Other 159683
Indiana Other 415633P
Indiana Other 1169908
Indiana Other 835778
Indiana Other P01333108
Indiana Other 000000867525
Indiana Other 299856
Indiana Other 50065353
Indiana Other 060052920
Indiana Other 2552053001
Indiana Other 000000052136
Indiana Other 1079152
Indiana Other 25-00439
Indiana MEDICAID 64300155
Indiana Other 060052923
Indiana Other 6113371060A11

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