Ivey, Louis Albert

Ivey, Louis Albert is an sole proprietor health care provider with primary practice located at 7316 Wisconsin Ave Suite 220, Bethesda MD 20814-2907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ivey, Louis Albert can be contacted via phone (301) 913-9207.

Contact Information

Primary practice address
7316 Wisconsin Ave Suite 220 Bethesda MD 20814-2907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0009282 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X MD5404 District of Columbia

Profile Details

NPI number 1659426419
LBN Legal business name Ivey, Louis Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 19 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 1659426419 NPPES
District of Columbia Other 23989 CHARTERED HEALTH PLAN
District of Columbia MEDICAID 4401100 CHARTERED HEALTH PLAN

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