Garcia, Ivan Horacio
Garcia, Ivan Horacio is an individual health care provider with primary practice located at 2925 Lord Baltimore Dr. Ste 300, Baltimore MD 21244-2568. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Other Service Providers / Specialist is his primary health care specialty. Garcia, Ivan Horacio can be contacted via phone (410) 277-3937.Contact Information
Primary practice address
2925 Lord Baltimore Dr. Ste 300
Baltimore MD 21244-2568
Phone: (410) 277-3937
Fax: (410) 281-9388
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | D0032680 | Maryland |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0032680 | Maryland |
Profile Details
NPI number | 1629074745 |
---|---|
LBN Legal business name | Garcia, Ivan Horacio |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Jul 2nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629074745 | NPPES |
Maryland | MEDICAID | 390291900 |
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