Ivy, Chris

Ivy, Chris is an individual health care provider with primary practice located at 1910 Malvern Ave , Hot Springs AR 71901-7752. 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. Ivy, Chris can be contacted via phone (501) 321-1000.

Contact Information

Primary practice address
1910 Malvern Ave Hot Springs AR 71901-7752
Phone: (501) 321-1000
Fax: (870) 722-2421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CTP-000039 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C02660 Arkansas

Profile Details

NPI number 1952520132
LBN Legal business name Ivy, Chris
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Oct 23rd, 2014 - about 10 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 1952520132 NPPES
Other P00440980 RR MEDICARE GROUP CK6327
Other 5A372 RR MEDICARE GROUP CK6327
MEDICAID 165279001 RR MEDICARE GROUP CK6327

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