Ivins, Rhea

Ivins, Rhea is an individual health care provider with primary practice located at 2212 Genesee St , Utica NY 13502-5809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Ivins, Rhea can be contacted via phone (315) 734-3161.

Contact Information

Primary practice address
2212 Genesee St Utica NY 13502-5809
Phone: (315) 734-3161
Fax: (315) 734-3411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 172299-1 New York

Profile Details

NPI number 1588654438
LBN Legal business name Ivins, Rhea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 9th, 2007 - about 18 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 1588654438 NPPES
New York MEDICAID 01104223

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