Ivanov, Julie C

Ivanov, Julie C is an individual health care provider with primary practice located at 1500 Associates Dr The Medical Associates Clinic Pc, Dubuque IA 52002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ivanov, Julie C can be contacted via phone (563) 584-4460.

Contact Information

Primary practice address
1500 Associates Dr The Medical Associates Clinic Pc Dubuque IA 52002
Phone: (563) 584-4460
Fax: (563) 584-4395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Illinois

Profile Details

NPI number 1104898105
LBN Legal business name Ivanov, Julie C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 22nd, 2008 - 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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