Ivan, T Steven

Ivan, T Steven is an individual health care provider with primary practice located at 530 N Monte Vista St Ste A , Ada OK 74820-4675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ivan, T Steven can be contacted via phone (580) 310-9510.

Contact Information

Primary practice address
530 N Monte Vista St Ste A Ada OK 74820-4675
Phone: (580) 310-9510
Fax: (580) 436-4447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4082 Oklahoma

Profile Details

NPI number 1992763411
LBN Legal business name Ivan, T Steven
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 13th, 2018 - about 6 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 1992763411 NPPES
Oklahoma MEDICAID 200076860A

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