Ivey, Willie D

Ivey, Willie D is an individual health care provider with primary practice located at 601 W 5Th Ave Suite 500, Spokane WA 99204-2756. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ivey, Willie D can be contacted via phone (509) 344-2663.

Contact Information

Primary practice address
601 W 5Th Ave Suite 500 Spokane WA 99204-2756
Phone: (509) 344-2663
Fax: (509) 624-9179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN00144573 Washington

Profile Details

NPI number 1093784183
LBN Legal business name Ivey, Willie D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 11th, 2008 - 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 1093784183 NPPES
Washington Other 0185166 DEPT OF LABOR & INDUSTRIE
Washington Other 28403 DEPT OF LABOR & INDUSTRIE
Washington MEDICAID 9634601 DEPT OF LABOR & INDUSTRIE
Washington Other 2855IV DEPT OF LABOR & INDUSTRIE
Washington Other 8938961 DEPT OF LABOR & INDUSTRIE
Washington MEDICAID 4303910 DEPT OF LABOR & INDUSTRIE
Washington Other 000010147505 DEPT OF LABOR & INDUSTRIE
Washington Other P00126952 DEPT OF LABOR & INDUSTRIE

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