Iverson, Donald J

Iverson, Donald J is an individual health care provider with primary practice located at 2828 Oneil Lane , Eureka CA 95503-4870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Iverson, Donald J can be contacted via phone (707) 443-9385.

Contact Information

Primary practice address
2828 Oneil Lane Eureka CA 95503-4870
Phone: (707) 443-9385
Fax: (707) 443-0258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G60800 California

Profile Details

NPI number 1356309728
LBN Legal business name Iverson, Donald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 3rd, 2021 - about 5 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 1356309728 NPPES
California MEDICAID 00G608000
California Other 0165084
California Other 130004938

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