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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 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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