Ivy, Mary E
Ivy, Mary E is an individual health care provider with primary practice located at 562 W 2Nd Ave , Lititz PA 17543-1816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ivy, Mary E can be contacted via phone (717) 626-2167.Contact Information
Primary practice address
562 W 2Nd Ave
Lititz PA 17543-1816
Phone: (717) 626-2167
Fax: (717) 626-1915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD040279L | Pennsylvania |
Profile Details
| NPI number | 1447234521 |
|---|---|
| LBN Legal business name | Ivy, Mary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Sep 1st, 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 | 1447234521 | NPPES |
| Pennsylvania | Other | 5171073 | AETNA NON-HMO |
| Pennsylvania | Other | 578399 | AETNA NON-HMO |
| Pennsylvania | Other | D71478 | AETNA NON-HMO |
| Pennsylvania | Other | P002302 | AETNA NON-HMO |
| Pennsylvania | Other | 52447 S1QG | AETNA NON-HMO |
| Pennsylvania | Other | 512264 | AETNA NON-HMO |
| Pennsylvania | MEDICAID | 0011155040001 | AETNA NON-HMO |
| Pennsylvania | Other | 01882901 | AETNA NON-HMO |
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