Ivester, Charles Thomas
Ivester, Charles Thomas is an sole proprietor health care provider with primary practice located at 5957 Fashion Point Dr Ste 103 , South Ogden UT 84403-5180. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ivester, Charles Thomas can be contacted via phone (385) 492-4930.Contact Information
Primary practice address
5957 Fashion Point Dr Ste 103
South Ogden UT 84403-5180
Phone: (385) 492-4930
Fax: (385) 492-4449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 349313-1205 | Utah |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 349313-1205 | Utah |
Profile Details
| NPI number | 1376585372 |
|---|---|
| LBN Legal business name | Ivester, Charles Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Dec 12th, 2022 - about 2 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 | 1376585372 | NPPES |
| Utah | MEDICAID | 1376585372 |
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