Korachis, Ivy

Korachis, Ivy is an individual health care provider with primary practice located at 44201 Dequindre 400 Fsc - Pcs, Troy MI 48085-1198. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Korachis, Ivy can be contacted via phone (248) 423-3144.

Contact Information

Primary practice address
44201 Dequindre 400 Fsc - Pcs Troy MI 48085-1198
Phone: (248) 423-3144
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704120525 Michigan

Profile Details

NPI number 1750340550
LBN Legal business name Korachis, Ivy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1750340550 NPPES
Michigan MEDICAID 2763296
Michigan Other 430F36442048

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