Ivan, Frank Edward
Ivan, Frank Edward is an individual health care provider with primary practice located at 13857 Apple Harvest Dr , Martinsburg WV 25403-6199. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ivan, Frank Edward can be contacted via phone (681) 248-5384.Contact Information
Primary practice address
13857 Apple Harvest Dr
Martinsburg WV 25403-6199
Phone: (681) 248-5384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305206758 | Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 004477 | West Virginia |
Profile Details
| NPI number | 1730485376 |
|---|---|
| LBN Legal business name | Ivan, Frank Edward |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2011 |
| Last updated | Sep 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730485376 | NPPES |
| Virginia | Other | 2307001197 | DIRECT ACCESS CERTIFICATION |
| Virginia | Other | K949 - 0077 | DIRECT ACCESS CERTIFICATION |
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