Ivy, Joseph J

Ivy, Joseph J is an individual health care provider with primary practice located at 3901 Parkway Cir , Springdale AR 72762-6362. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Ivy, Joseph J can be contacted via phone (479) 443-4500.

Contact Information

Primary practice address
3901 Parkway Cir Springdale AR 72762-6362
Phone: (479) 443-4500
Fax: (479) 443-4502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 025078 Louisiana
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X E-6436 Arkansas

Profile Details

NPI number 1417977471
LBN Legal business name Ivy, Joseph J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 1st, 2024 - about 9 months 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 1417977471 NPPES
Louisiana MEDICAID 1423149
Louisiana MEDICAID 1689986606
Louisiana MEDICAID 185252001
Louisiana MEDICAID 200471960A

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