Danger, Ivan

Danger, Ivan is an sole proprietor health care provider with primary practice located at 9370 Sunset Dr Suite A240, Miami FL 33173-5431. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Danger, Ivan can be contacted via phone (305) 274-9755.

Contact Information

Primary practice address
9370 Sunset Dr Suite A240 Miami FL 33173-5431
Fax: (305) 274-4137
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY4468 Florida

Profile Details

NPI number 1245282359
LBN Legal business name Danger, Ivan
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Feb 13th, 2017 - 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 1245282359 NPPES
Florida Other 73812 BCBS PROVIDER #

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