Ivanick, David Nathaniel
Ivanick, David Nathaniel is an individual health care provider with primary practice located at 550 17Th Ave Ste 400 , Seattle WA 98122-5789. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ivanick, David Nathaniel can be contacted via phone (206) 320-3494.Contact Information
Primary practice address
550 17Th Ave Ste 400
Seattle WA 98122-5789
Phone: (206) 320-3494
Fax: (206) 386-2845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | MD61085807 | Washington |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD61085807 | Washington |
Profile Details
| NPI number | 1629430137 |
|---|---|
| LBN Legal business name | Ivanick, David Nathaniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2016 |
| Last updated | Jan 13th, 2022 - about 3 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 | 1629430137 | NPPES |
| Washington | MEDICAID | 1629430137 |
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