Rivera, Ian Matthew
Rivera, Ian Matthew is an sole proprietor health care provider with primary practice located at 300 E. Hospital Road Room 8A-30 (Mchf-M-Ne), Fort Gordon GA 30905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Rivera, Ian Matthew can be contacted via phone (706) 787-7665.Contact Information
Primary practice address
300 E. Hospital Road Room 8A-30 (Mchf-M-Ne)
Fort Gordon GA 30905
Phone: (706) 787-7665
Fax: (706) 787-2326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 61853 | Georgia |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 61853 | Georgia |
Profile Details
| NPI number | 1780830331 |
|---|---|
| LBN Legal business name | Rivera, Ian Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2008 |
| Last updated | May 12th, 2016 - about 8 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 | 1780830331 | NPPES |
| Other | 1780830331 | NPI |
Popular Providers
-
Williams, Myreon
300 W Hospital Road Eisenhower Army Medical Center (Credentials), Ft. Gordon GA 30905-5650 -
Ferraro, James C.
6622 N 91St Ave Ste 200 , Glendale AZ 85305-2569 -
Murphy, Michael N
410 Fleischmann Way Suite B, Carson City NV 89703-3973 -
Tobin, Trevor Wesley
300 E Hospital Rd , Fort Gordon GA 30905 -
Aly, Aly E
3366 Nw Expressway Bldg D Suite 730, Oklahoma City OK 73112-4462 -
Corredor, Juan S
3291 Skypark Dr , Torrance CA 90505-5004 -
Burran, William Patrick
Winn Ach, 1061 Harmon Avenue Ste 1D03, Fort Stewart GA 31314-5674 -
Kornetsky, Kenneth M
406 Hospital Dr , Warrenton VA 20186-3026