Ivery, Carrie
Ivery, Carrie is an sole proprietor health care provider with primary practice located at 2816 Cambridge Dr , La Place LA 70068-2206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Ivery, Carrie can be contacted via phone (504) 402-5641.Contact Information
Primary practice address
2816 Cambridge Dr
La Place LA 70068-2206
Phone: (504) 402-5641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 009416037 | Louisiana |
Profile Details
| NPI number | 1669134896 |
|---|---|
| LBN Legal business name | Ivery, Carrie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2021 |
| Last updated | Oct 5th, 2021 - about 3 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 | 1669134896 | NPPES |
| Louisiana | MEDICAID | 9373 |
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