Iversen, Robert H

Iversen, Robert H is an individual health care provider with primary practice located at 2702 N 44Th St 101A, Phoenix AZ 85008-1583. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Iversen, Robert H can be contacted via phone (480) 990-9095.

Contact Information

Primary practice address
2702 N 44Th St 101A Phoenix AZ 85008-1583
Phone: (480) 990-9095
Fax: (480) 941-1233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4858 Arizona
Chiropractic Providers / Sports Physician 111NS0005X 4858 Arizona

Profile Details

NPI number 1114017290
LBN Legal business name Iversen, Robert H
Credentials D.C., C.C.S.P
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Feb 1st, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114017290 NPPES
Arizona Other AZ0242900 BCBS
Arizona Other AW2551 BCBS
Arizona MEDICAID 162173 BCBS
Arizona Other 2455228 BCBS

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