Escobar Roldan, Ivan Dario

Escobar Roldan, Ivan Dario is an individual health care provider with primary practice located at 5325 26Th St W , Bradenton FL 34207-3012. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Coding Specialist, Physician Office Based, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Escobar Roldan, Ivan Dario can be contacted via phone (941) 752-7173.

Contact Information

Primary practice address
5325 26Th St W Bradenton FL 34207-3012
Phone: (941) 752-7173
Fax: (941) 567-6277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Coding Specialist, Physician Office Based 246YC3302X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 237864 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME155308 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 237864 North Carolina

Profile Details

NPI number 1770060204
LBN Legal business name Escobar Roldan, Ivan Dario
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2018
Last updated Jul 12th, 2022 - about 4 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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