Chudnow, Ivan Paul
Chudnow, Ivan Paul is an sole proprietor health care provider with primary practice located at 505 Sw 7Th Ave , Fort Lauderdale FL 33315-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Chudnow, Ivan Paul can be contacted via phone (954) 760-9245.Contact Information
Primary practice address
505 Sw 7Th Ave
Fort Lauderdale FL 33315-1041
Phone: (954) 760-9245
Fax: (954) 760-9313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME 19425 | Florida |
Profile Details
| NPI number | 1750509808 |
|---|---|
| LBN Legal business name | Chudnow, Ivan Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750509808 | NPPES |
| Pennsylvania | Other | MD 009390 E | STATE LICENSE |
| Pennsylvania | Other | ME 19425 | STATE LICENSE |
| Pennsylvania | Other | GFE22093 | STATE LICENSE |
| Pennsylvania | Other | AC5131800 | STATE LICENSE |
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