Iven, Patricia Joyce
Iven, Patricia Joyce is an individual health care provider with primary practice located at 1130 E. Lansing , Broken Arrow OK 74012. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Iven, Patricia Joyce can be contacted via phone (918) 258-9990.Contact Information
Primary practice address
1130 E. Lansing
Broken Arrow OK 74012
Phone: (918) 258-9990
Fax: (918) 251-9339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2072 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2072 | Oklahoma |
Profile Details
| NPI number | 1033480538 |
|---|---|
| LBN Legal business name | Iven, Patricia Joyce |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2012 |
| Last updated | Sep 26th, 2018 - about 8 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 | 1033480538 | NPPES |
| Oklahoma | Other | 200411540A | SOONERCARE PCP ID |
| Oklahoma | MEDICAID | 200411540A | SOONERCARE PCP ID |
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