Ivens, Mark Y.
Ivens, Mark Y. is an individual health care provider with primary practice located at 4528 Chapman Hwy , Knoxville TN 37920-4359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ivens, Mark Y. can be contacted via phone (865) 579-3920.Contact Information
Primary practice address
4528 Chapman Hwy
Knoxville TN 37920-4359
Phone: (865) 579-3920
Fax: (865) 579-3918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD11712 | Tennessee |
Profile Details
| NPI number | 1821070103 |
|---|---|
| LBN Legal business name | Ivens, Mark Y. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jun 22nd, 2020 - about 6 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 | 1821070103 | NPPES |
| Tennessee | MEDICAID | 3199121 |
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