Iversen, Erik Thorvald

Iversen, Erik Thorvald is an individual health care provider with primary practice located at 2585 Cochran St Suite A, Simi Valley CA 93065-2602. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Iversen, Erik Thorvald can be contacted via phone (805) 584-0001.

Contact Information

Primary practice address
2585 Cochran St Suite A Simi Valley CA 93065-2602
Phone: (805) 584-0001
Fax: (805) 527-9135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 29275 California

Profile Details

NPI number 1093762486
LBN Legal business name Iversen, Erik Thorvald
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Sep 20th, 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 1093762486 NPPES
California Other PT00029275 BLUE CROSS OF CA
California Other 77057605493065B005 BLUE CROSS OF CA
California Other 0PT292750 BLUE CROSS OF CA

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