Ivey, Deborah
Ivey, Deborah is an individual health care provider with primary practice located at 103 E 23Rd St , Panama City FL 32405-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ivey, Deborah can be contacted via phone (850) 769-0338.Contact Information
Primary practice address
103 E 23Rd St
Panama City FL 32405-4501
Phone: (850) 769-0338
Fax: (850) 785-6088
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP2637962 | Florida |
Profile Details
NPI number | 1821171190 |
---|---|
LBN Legal business name | Ivey, Deborah |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2006 |
Last updated | Jul 21st, 2011 - about 13 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 | 1821171190 | NPPES |
Florida | MEDICAID | 302564100 |
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