Ivey, Nathan D
Ivey, Nathan D is an individual health care provider with primary practice located at 4343 Pan American Fwy Ne Ste 234 , Albuquerque NM 87107. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ivey, Nathan D can be contacted via phone (505) 880-1000.Contact Information
Primary practice address
4343 Pan American Fwy Ne Ste 234
Albuquerque NM 87107
Phone: (505) 880-1000
Fax: (505) 880-1002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 272 | New Mexico |
Profile Details
| NPI number | 1144230061 |
|---|---|
| LBN Legal business name | Ivey, Nathan D |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | May 30th, 2023 - about 3 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 | 1144230061 | NPPES |
| Other | 4583990001 | DME | |
| Other | 2109215 | DME | |
| Other | PROVB13850 | DME | |
| Other | 10002146 | DME | |
| Other | 201036405 | DME | |
| MEDICAID | 12226807 | DME | |
| Other | 480034544 | DME | |
| Other | NM005485 | DME |
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