Ivey, Tom

Ivey, Tom is an individual health care provider with primary practice located at 2123 Auburn Ave , Cincinnati OH 45219-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ivey, Tom can be contacted via phone (513) 651-1180.

Contact Information

Primary practice address
2123 Auburn Ave Cincinnati OH 45219-2906
Phone: (513) 651-1180
Fax: (513) 651-2175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35057125 Ohio

Profile Details

NPI number 1568439321
LBN Legal business name Ivey, Tom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Dec 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 1568439321 NPPES
Other 311438871035 CARESOURCE
MEDICAID 0706696 CARESOURCE
Other 285277 CARESOURCE
Other 000000218059 CARESOURCE
MEDICAID 64860414 CARESOURCE
Other 1800392 CARESOURCE
Other 5712508 CARESOURCE
Other 2685094 CARESOURCE

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