Ivy, Olivia

Ivy, Olivia is an sole proprietor health care provider with primary practice located at 101 W Koenig Ln Unit 100 , Austin TX 78751-1273. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Ivy, Olivia can be contacted via phone (833) 937-5463.

Contact Information

Primary practice address
101 W Koenig Ln Unit 100 Austin TX 78751-1273
Phone: (833) 937-5463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT197947 Pennsylvania
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X S6386 Texas

Profile Details

NPI number 1851693436
LBN Legal business name Ivy, Olivia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2010
Last updated Mar 7th, 2023 - about 2 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 1851693436 NPPES
Texas Other S6386 TEXAS MEDICAL LICENSE
Texas Other MT197947 TEXAS MEDICAL LICENSE

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