Ivey, Susan Lee

Ivey, Susan Lee is an individual health care provider with primary practice located at 2140 Shattuck Ave 10Th Floor, Health Research For Action, Uc-Berkeley Sph, Berkeley CA 94704-1210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ivey, Susan Lee can be contacted via phone (510) 643-1883.

Contact Information

Primary practice address
2140 Shattuck Ave 10Th Floor, Health Research For Action, Uc-Berkeley Sph Berkeley CA 94704-1210
Phone: (510) 643-1883
Fax: (510) 643-7976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C43335 California

Profile Details

NPI number 1003004169
LBN Legal business name Ivey, Susan Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Oct 12th, 2007 - about 17 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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