Bilbao-Lavieja, Ivan

Bilbao-Lavieja, Ivan is an individual health care provider with primary practice located at 113 W Essex St Ste 201 , Maywood NJ 07607-1023. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bilbao-Lavieja, Ivan can be contacted via phone (201) 226-0145.

Contact Information

Primary practice address
113 W Essex St Ste 201 Maywood NJ 07607-1023
Phone: (201) 226-0145
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 009941 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00179900 New Jersey

Profile Details

NPI number 1477593820
LBN Legal business name Bilbao-Lavieja, Ivan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 17th, 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 1477593820 NPPES
New York Other P00403304 RAILROAD

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