Bank, Ivan Bruce
Bank, Ivan Bruce is an sole proprietor health care provider with primary practice located at 8611 Hillcrest Ave Ste. 140, Dallas TX 75225-4207. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Bank, Ivan Bruce can be contacted via phone (214) 739-8611.Contact Information
Primary practice address
8611 Hillcrest Ave Ste. 140
Dallas TX 75225-4207
Phone: (214) 739-8611
Fax: (214) 739-8612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 930-108T | Louisiana |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 03313TG | Texas |
Profile Details
| NPI number | 1194706861 |
|---|---|
| LBN Legal business name | Bank, Ivan Bruce |
| Credentials | O.D. ,F.A.A.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jan 10th, 2015 - about 11 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 | 1194706861 | NPPES |
| Louisiana | Other | 2264B | BLUE CROSS BLUE SHIELD |
| Louisiana | Other | 83020 | BLUE CROSS BLUE SHIELD |
| Louisiana | Other | 721030686BA | BLUE CROSS BLUE SHIELD |
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