Ibanez, Vivian Karina

Ibanez, Vivian Karina is an individual health care provider with primary practice located at 130 Condor Street , East Boston MA 02128. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ibanez, Vivian Karina can be contacted via phone (617) 569-6560.

Contact Information

Primary practice address
130 Condor Street East Boston MA 02128
Phone: (617) 569-6560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 042317215 Massachusetts

Profile Details

NPI number 1174907588
LBN Legal business name Ibanez, Vivian Karina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2015
Last updated Jul 15th, 2015 - about 9 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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