Ivey, Henry

Ivey, Henry is an individual health care provider with primary practice located at 390 S Main St Ste 201 , Rocky Mount VA 24151-1767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ivey, Henry can be contacted via phone (540) 484-4800.

Contact Information

Primary practice address
390 S Main St Ste 201 Rocky Mount VA 24151-1767
Phone: (540) 484-4800
Fax: (540) 484-4847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101-026416 Virginia

Profile Details

NPI number 1518930403
LBN Legal business name Ivey, Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Sep 14th, 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 1518930403 NPPES
Virginia MEDICAID 005637848
Virginia MEDICAID 005623928
Virginia MEDICAID 005637830

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