Ivey, Ernest Rackley

Ivey, Ernest Rackley is an sole proprietor health care provider with primary practice located at 4346 Lakeshore Ln Unit 304 , Chattanooga TN 37415-7169. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Legal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Ivey, Ernest Rackley can be contacted via phone (608) 354-3947.

Contact Information

Primary practice address
4346 Lakeshore Ln Unit 304 Chattanooga TN 37415-7169
Phone: (608) 354-3947
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 44317-020 Wisconsin
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X 44317-020 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 44317-020 Wisconsin
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 44317-020 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 0101232074 Virginia
Allopathic & Osteopathic Physicians / Legal Medicine 209800000X 44317-020 Wisconsin
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 44317-020 Wisconsin

Profile Details

NPI number 1568459212
LBN Legal business name Ivey, Ernest Rackley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Dec 21st, 2022 - about 4 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 1568459212 NPPES
South Carolina Other 19248 MEDICAL LICENSE
South Carolina Other 67772 MEDICAL LICENSE
South Carolina Other 036-103584 MEDICAL LICENSE
South Carolina Other 44317-20 MEDICAL LICENSE
South Carolina Other 0101232074 MEDICAL LICENSE
South Carolina Other 11027179 MEDICAL LICENSE
South Carolina MEDICAID 3428920 MEDICAL LICENSE

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