Romero, Ivan R

Romero, Ivan R is an individual health care provider with primary practice located at 9305 W Thomas Rd Suite 275, Phoenix AZ 85037-3328. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Romero, Ivan R can be contacted via phone (623) 327-4144.

Contact Information

Primary practice address
9305 W Thomas Rd Suite 275 Phoenix AZ 85037-3328
Phone: (623) 327-4144
Fax: (623) 327-4140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2988 Arizona

Profile Details

NPI number 1649249236
LBN Legal business name Romero, Ivan R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 17th, 2008 - about 16 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 1649249236 NPPES
Arizona MEDICAID 859126

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