Ivy, Robert Eugene
Ivy, Robert Eugene is an individual health care provider with primary practice located at 1422 Old Weisgarber Rd , Knoxville TN 37909-1293. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Ivy, Robert Eugene can be contacted via phone (865) 558-4400.Contact Information
Primary practice address
1422 Old Weisgarber Rd
Knoxville TN 37909-1293
Phone: (865) 558-4400
Fax: (865) 558-4471
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD25431 | Tennessee |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 25431 | Tennessee |
Profile Details
NPI number | 1699742858 |
---|---|
LBN Legal business name | Ivy, Robert Eugene |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 7th, 2006 |
Last updated | Jun 22nd, 2017 - about 8 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 | 1699742858 | NPPES |
Tennessee | Other | 100011201 | TENNCARE |
Tennessee | Other | 4478561 | TENNCARE |
Tennessee | Other | 360843 | TENNCARE |
Tennessee | Other | 200029919 | TENNCARE |
Tennessee | Other | TN0117 | TENNCARE |
Tennessee | Other | 3071387 | TENNCARE |
Tennessee | MEDICAID | 3082715 | TENNCARE |
Tennessee | Other | TN0149 | TENNCARE |
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