Ike, David G

Ike, David G is an individual health care provider with primary practice located at 1083 Boiling Springs Rd , Spartanburg SC 29303-2248. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Ike, David G can be contacted via phone (864) 583-8647.

Contact Information

Primary practice address
1083 Boiling Springs Rd Spartanburg SC 29303-2248
Fax: (864) 542-2227
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 14849 South Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 14849 South Carolina
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 14849 South Carolina

Profile Details

NPI number 1033159678
LBN Legal business name Ike, David G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 27th, 2008 - about 16 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 1033159678 NPPES
Other 38519 MEDCOST PIN
MEDICAID 148496 MEDCOST PIN
MEDICAID 890615V MEDCOST PIN
Other 4286089 MEDCOST PIN

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