Cardona, Ivan D
Cardona, Ivan D is an individual health care provider with primary practice located at 195 Fore River Pkwy Suite 410, Portland ME 04102. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Cardona, Ivan D can be contacted via phone (207) 774-9839.Contact Information
Primary practice address
195 Fore River Pkwy Suite 410
Portland ME 04102
Phone: (207) 774-9839
Fax: (207) 761-2127
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 017151 | Maine |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 017151 | Maine |
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 017151 | Maine |
Profile Details
NPI number | 1215038088 |
---|---|
LBN Legal business name | Cardona, Ivan D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2006 |
Last updated | Jan 13th, 2015 - about 10 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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