Ivarsson, Bengt

Ivarsson, Bengt is an individual health care provider with primary practice located at 1259 S Cedar Crest Blvd Suite 301, Allentown PA 18103-6372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ivarsson, Bengt can be contacted via phone (610) 402-9400.

Contact Information

Primary practice address
1259 S Cedar Crest Blvd Suite 301 Allentown PA 18103-6372
Phone: (610) 402-9400
Fax: (610) 402-9420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD059004L Pennsylvania

Profile Details

NPI number 1306985387
LBN Legal business name Ivarsson, Bengt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Nov 23rd, 2015 - about 10 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 1306985387 NPPES
Pennsylvania MEDICAID 001600222

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