Ivers, Vincent M
Ivers, Vincent M is an sole proprietor health care provider with primary practice located at 301 20Th St , Port St Joe FL 32456-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ivers, Vincent M can be contacted via phone (850) 227-7070.Contact Information
Primary practice address
301 20Th St
Port St Joe FL 32456-3301
Phone: (850) 227-7070
Fax: (850) 227-1989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME0065165 | Florida |
Profile Details
| NPI number | 1851366702 |
|---|---|
| LBN Legal business name | Ivers, Vincent M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jun 17th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851366702 | NPPES |
| Florida | MEDICAID | 376567900 |
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