Ivy, Autumn Skye

Ivy, Autumn Skye is an individual health care provider with primary practice located at 1201 W La Veta Ave , Orange CA 92868-4203. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Ivy, Autumn Skye can be contacted via phone (888) 770-2462.

Contact Information

Primary practice address
1201 W La Veta Ave Orange CA 92868-4203
Phone: (888) 770-2462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A126865 California
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X A126865 California

Profile Details

NPI number 1659638666
LBN Legal business name Ivy, Autumn Skye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Sep 12th, 2017 - about 7 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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