Faske, Ivy

Faske, Ivy is an sole proprietor health care provider with primary practice located at 3365 Burns Rd Suite 206, Palm Beach Gardens FL 33410-4303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Faske, Ivy can be contacted via phone (561) 626-4677.

Contact Information

Primary practice address
3365 Burns Rd Suite 206 Palm Beach Gardens FL 33410-4303
Phone: (561) 626-4677
Fax: (561) 626-6995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 49705 Florida

Profile Details

NPI number 1942201868
LBN Legal business name Faske, Ivy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Dec 1st, 2020 - about 4 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 1942201868 NPPES
Florida Other 04337 BLUE CROSS BLUE SHIELD

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