Provider Demographics
NPI:1902229446
Name:FIRST BOSNIAN INSURANCE AGENCY
Entity Type:Organization
Organization Name:FIRST BOSNIAN INSURANCE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FAZIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAJZOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-353-4403
Mailing Address - Street 1:5457 GRAVOIS AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-2340
Mailing Address - Country:US
Mailing Address - Phone:314-353-4403
Mailing Address - Fax:314-353-4408
Practice Address - Street 1:5457 GRAVOIS AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63116-2340
Practice Address - Country:US
Practice Address - Phone:314-353-4403
Practice Address - Fax:314-353-4408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0347292251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage