Ivey, Donathan M
Ivey, Donathan M is an individual health care provider with primary practice located at 100 Lantana Road Suite 202, Crossville TN 38555-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ivey, Donathan M can be contacted via phone (931) 484-5141.Contact Information
Primary practice address
100 Lantana Road Suite 202
Crossville TN 38555-1903
Phone: (931) 484-5141
Fax: (931) 484-5620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD10079 | Tennessee |
Profile Details
| NPI number | 1427164557 |
|---|---|
| LBN Legal business name | Ivey, Donathan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Dec 8th, 2009 - about 17 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 | 1427164557 | NPPES |
| Tennessee | MEDICAID | 3185096 | |
| Tennessee | Other | 406021123 | |
| Tennessee | Other | 58256 |
Popular Providers
-
Olaechea, Reynaldo A
124 Hayes St , Crossville TN 38555 -
Cross, Tracy Glenn
250 Burkesville Rd , Albany KY 42602-1604 -
White, Patrick W.
5700 Monroe St Unit 101 , Sylvania OH 43560-2779 -
Seip, Christopher C
820 N Alpha St , Grand Island NE 68803-4320 -
Bell, Christopher M
124 Hayes St , Crossville TN 38555 -
Fox, Mark Alan
100 Lantana Rd Suite 202, Crossville TN 38555-1903 -
Thuan, Robert
113 Highway 70 E , Dickson TN 37055-2075 -
Milligan, John Leslie
49 Cleveland St Suite 310, Crossville TN 38555-9716