Morrin, Ivan David

Morrin, Ivan David is an individual health care provider with primary practice located at 210 Bevins Ln Ste C, Georgetown KY 40324-6120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Morrin, Ivan David can be contacted via phone (502) 868-0622.

Contact Information

Primary practice address
210 Bevins Ln Ste C Georgetown KY 40324-6120
Fax: (502) 868-9097
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39654 Kentucky

Profile Details

NPI number 1104825934
LBN Legal business name Morrin, Ivan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Dec 4th, 2020 - about 4 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 1104825934 NPPES
Kentucky MEDICAID 64106701

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