Shivitz, Ira A

Shivitz, Ira A is an individual health care provider with primary practice located at 335 24Th Ave N Ste 600 , Nashville TN 37203-1503. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Shivitz, Ira A can be contacted via phone (615) 320-7200.

Contact Information

Primary practice address
335 24Th Ave N Ste 600 Nashville TN 37203-1503
Fax: (615) 320-7203
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15763 Tennessee
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD15763 Tennessee

Profile Details

NPI number 1881690766
LBN Legal business name Shivitz, Ira A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jun 17th, 2024 - about 5 months 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 1881690766 NPPES
Tennessee Other 3126360 TENNCARE SELECT
Tennessee Other 2150030 TENNCARE SELECT
Tennessee Other 0627781 TENNCARE SELECT
Tennessee Other 621745543000 TENNCARE SELECT
Tennessee Other 180036789 TENNCARE SELECT
Tennessee Other 3126360 TENNCARE SELECT
Tennessee Other 621745543 TENNCARE SELECT
Tennessee Other 0840173 TENNCARE SELECT
Tennessee Other 3126360 TENNCARE SELECT
Tennessee Other B58858 TENNCARE SELECT
Tennessee MEDICAID 3717165 TENNCARE SELECT
Tennessee Other 00001364 TENNCARE SELECT

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