Burge, Ivy

Burge, Ivy is an individual health care provider with primary practice located at 2798 Yulupa Ave Ste 3 , Santa Rosa CA 95405-8570. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Burge, Ivy can be contacted via phone (707) 542-7299.

Contact Information

Primary practice address
2798 Yulupa Ave Ste 3 Santa Rosa CA 95405-8570
Phone: (707) 542-7299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA92988 California

Profile Details

NPI number 1881213379
LBN Legal business name Burge, Ivy
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2020
Last updated Apr 14th, 2020 - about 5 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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