Ivans, David L
Ivans, David L is an individual health care provider with primary practice located at 102 N Magdalen St , San Angelo TX 76903-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ivans, David L can be contacted via phone (325) 481-2170.Contact Information
Primary practice address
102 N Magdalen St
San Angelo TX 76903-5400
Phone: (325) 481-2170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | J2617 | Texas |
Profile Details
| NPI number | 1093772618 |
|---|---|
| LBN Legal business name | Ivans, David L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jan 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093772618 | NPPES |
| Texas | MEDICAID | 118591004 | |
| Texas | Other | 8W2104 |
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