Ivy, Jarrett
Ivy, Jarrett is an individual health care provider with primary practice located at 1107 W Lexington Ave , Winchester KY 40391-1169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ivy, Jarrett can be contacted via phone (859) 745-3500.Contact Information
Primary practice address
1107 W Lexington Ave
Winchester KY 40391-1169
Phone: (859) 745-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | PA157 | Kentucky |
Profile Details
| NPI number | 1376607358 |
|---|---|
| LBN Legal business name | Ivy, Jarrett |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376607358 | NPPES |
| Kentucky | MEDICAID | PENDING |
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