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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 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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