Christen, Ivory Joe

Christen, Ivory Joe is an sole proprietor health care provider with primary practice located at 201 E Hallandale Beach Blvd , Hallandale Beach FL 33009-5524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Christen, Ivory Joe can be contacted via phone (954) 455-3301.

Contact Information

Primary practice address
201 E Hallandale Beach Blvd Hallandale Beach FL 33009-5524
Phone: (954) 455-3301
Fax: (954) 455-4435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1714142 Florida

Profile Details

NPI number 1417952847
LBN Legal business name Christen, Ivory Joe
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Mar 26th, 2010 - about 14 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 1417952847 NPPES
Florida MEDICAID 301753200

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