Vicente, Ivan

Vicente, Ivan is an individual health care provider with primary practice located at 433 Black Elk Ct , Ellsworth Afb SD 57706-1847. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Vicente, Ivan can be contacted via phone (605) 521-3502.

Contact Information

Primary practice address
433 Black Elk Ct Ellsworth Afb SD 57706-1847
Phone: (605) 521-3502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1710201553
LBN Legal business name Vicente, Ivan
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2010
Last updated Mar 23rd, 2010 - about 14 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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