Ivanov, Oleg

Ivanov, Oleg is an sole proprietor health care provider with primary practice located at 1230 E 1St St , Casper WY 82601-2704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ivanov, Oleg can be contacted via phone (307) 266-3174.

Contact Information

Primary practice address
1230 E 1St St Casper WY 82601-2704
Phone: (307) 266-3174
Fax: (307) 266-3177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 8672A Wyoming

Profile Details

NPI number 1437311222
LBN Legal business name Ivanov, Oleg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2008
Last updated Jul 29th, 2011 - about 14 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.

Request for update

Popular Providers