Ivie, Conrad Blake

Ivie, Conrad Blake is an individual health care provider with primary practice located at 9430 Park West Blvd Ste 130 , Knoxville TN 37923-4205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Ivie, Conrad Blake can be contacted via phone (865) 690-4861.

Contact Information

Primary practice address
9430 Park West Blvd Ste 130 Knoxville TN 37923-4205
Phone: (865) 690-4861
Fax: (865) 560-8525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 52697 Tennessee
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 52697 Tennessee

Profile Details

NPI number 1497983233
LBN Legal business name Ivie, Conrad Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Oct 13th, 2023 - 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.

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