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
Phone: (864) 583-8647
Fax: (864) 542-2227
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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