Racadag, Ivan

Racadag, Ivan is an individual health care provider with primary practice located at 1604 Spring Hill Rd Suite 450, Vienna VA 22182-7510. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Racadag, Ivan can be contacted via phone (571) 599-5643.

Contact Information

Primary practice address
1604 Spring Hill Rd Suite 450 Vienna VA 22182-7510
Phone: (571) 599-5643
Fax: (703) 270-4350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024173957 Virginia
Nursing Service Providers / Registered Nurse 163W00000X 0001230039 Virginia

Profile Details

NPI number 1083062392
LBN Legal business name Racadag, Ivan
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2016
Last updated Jan 24th, 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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