Ivers, Louise C

Ivers, Louise C is an individual health care provider with primary practice located at 55 Fruit Street Grj 504 Massachusetts General Hospital, Boston MA 02114. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ivers, Louise C can be contacted via phone (617) 726-3812.

Contact Information

Primary practice address
55 Fruit Street Grj 504 Massachusetts General Hospital Boston MA 02114
Phone: (617) 726-3812
Fax: (617) 726-7416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 208858 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 208858 Massachusetts

Profile Details

NPI number 1750354064
LBN Legal business name Ivers, Louise C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750354064 NPPES
Massachusetts MEDICAID 0143260
Massachusetts Other 208858
Massachusetts Other J23733

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