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
Phone: (502) 868-0622
Fax: (502) 868-9097
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104825934 | NPPES |
| Kentucky | MEDICAID | 64106701 |
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