Ivan, Douglas J

Ivan, Douglas J is an individual health care provider with primary practice located at 2507 Kennedy Cir , Brooks City-Base TX 78235-5116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ivan, Douglas J can be contacted via phone (210) 536-3241.

Contact Information

Primary practice address
2507 Kennedy Cir Brooks City-Base TX 78235-5116
Phone: (210) 536-3241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F8520 Texas

Profile Details

NPI number 1033273768
LBN Legal business name Ivan, Douglas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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