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
Phone: (857) 203-4025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1275585754 | NPPES |
| Massachusetts | MEDICAID | 110004643/A |
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