Ivan, Cristina Simona
Ivan, Cristina Simona is an individual health care provider with primary practice located at 1050 Wishard Blvd Rg 6Th Floor, Indianapolis IN 46202-2872. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Ivan, Cristina Simona can be contacted via phone (317) 274-4455.Contact Information
Primary practice address
1050 Wishard Blvd Rg 6Th Floor
Indianapolis IN 46202-2872
Phone: (317) 274-4455
Fax: (317) 278-4918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 216619 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 01065170A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01065170A | Indiana |
Profile Details
| NPI number | 1932195732 |
|---|---|
| LBN Legal business name | Ivan, Cristina Simona |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jan 12th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932195732 | NPPES |
| Massachusetts | Other | 05-01246 | EVERCARE |
| Massachusetts | Other | 460281 | EVERCARE |
| Massachusetts | Other | P00761824 | EVERCARE |
| Massachusetts | Other | AA39276 | EVERCARE |
| Massachusetts | MEDICAID | 200908480 | EVERCARE |
| Massachusetts | Other | 01Y008643MA01 | EVERCARE |
| Massachusetts | Other | 0035620 | EVERCARE |
| Massachusetts | Other | 93367 | EVERCARE |
| Massachusetts | MEDICAID | 2104873 | EVERCARE |
| Massachusetts | Other | 3981555 | EVERCARE |
| Massachusetts | Other | J28937 | EVERCARE |
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