Ivey, Robert G
Ivey, Robert G is an sole proprietor health care provider with primary practice located at 1130 Commerce Dr , Las Cruces NM 88011-8209. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Ivey, Robert G can be contacted via phone (575) 521-3025.Contact Information
Primary practice address
1130 Commerce Dr
Las Cruces NM 88011-8209
Phone: (575) 521-3025
Fax: (575) 521-3565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2917 | New Mexico |
Profile Details
| NPI number | 1801844394 |
|---|---|
| LBN Legal business name | Ivey, Robert G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Dec 17th, 2010 - about 16 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 | 1801844394 | NPPES |
| New Mexico | MEDICAID | G9684 |
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