Zacarias, Ivan

Zacarias, Ivan is an individual health care provider with primary practice located at 3877 N 7Th St Fl 4 , Phoenix AZ 85014-5072. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is his primary health care specialty. Zacarias, Ivan can be contacted via phone (480) 407-4280.

Contact Information

Primary practice address
3877 N 7Th St Fl 4 Phoenix AZ 85014-5072
Phone: (480) 407-4280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-152783 Arizona
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86064802 Arizona

Profile Details

NPI number 1801509930
LBN Legal business name Zacarias, Ivan
Credentials RD, IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2023
Last updated Jan 4th, 2023 - about 2 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 1801509930 NPPES
Other NA NONE AVAILABLE

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