Bozovich, Pablo G
Bozovich, Pablo G is an individual health care provider with primary practice located at 2400 S 90Th St Suite 306, West Allis WI 53227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bozovich, Pablo G can be contacted via phone (414) 328-7146.Contact Information
Primary practice address
2400 S 90Th St Suite 306
West Allis WI 53227
Phone: (414) 328-7146
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46344 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 46344 | Wisconsin |
Profile Details
| NPI number | 1912916545 |
|---|---|
| LBN Legal business name | Bozovich, Pablo G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912916545 | NPPES |
| Wisconsin | MEDICAID | 34640600 |
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