Ilievski, Petar Mihajlo
Ilievski, Petar Mihajlo is an individual health care provider with primary practice located at 612 N 13Th St , Artesia NM 88210-1112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ilievski, Petar Mihajlo can be contacted via phone (575) 748-8311.Contact Information
Primary practice address
612 N 13Th St
Artesia NM 88210-1112
Phone: (575) 748-8311
Fax: (575) 736-6352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 29489 | Iowa |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD2011-0017 | New Mexico |
Profile Details
| NPI number | 1093788465 |
|---|---|
| LBN Legal business name | Ilievski, Petar Mihajlo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jul 1st, 2011 - about 15 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 | 1093788465 | NPPES |
| Iowa | Other | IA0132 | JOHN DEER |
| Iowa | MEDICAID | 0443457 | JOHN DEER |
| Iowa | Other | 37336 | JOHN DEER |
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