Betts, Ivy Lynn

Betts, Ivy Lynn is an individual health care provider with primary practice located at 203 W Pioneer Ave Suite 1, Homer AK 99603-7527. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Betts, Ivy Lynn can be contacted via phone (907) 235-0369.

Contact Information

Primary practice address
203 W Pioneer Ave Suite 1 Homer AK 99603-7527
Phone: (907) 235-0369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26187 Alaska

Profile Details

NPI number 1821310962
LBN Legal business name Betts, Ivy Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2010
Last updated Feb 16th, 2010 - 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 1821310962 NPPES
Alaska MEDICAID CMG799
Alaska MEDICAID HH2711
Alaska MEDICAID PCG519A
Alaska MEDICAID HC2563
Alaska MEDICAID MA0272
Alaska MEDICAID NA3799

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