Ivey, Walter Warren

Ivey, Walter Warren is an individual health care provider with primary practice located at 1128 N Laura St , Jacksonville FL 32206-4912. 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, Walter Warren can be contacted via phone (904) 355-3403.

Contact Information

Primary practice address
1128 N Laura St Jacksonville FL 32206-4912
Phone: (904) 355-3403
Fax: (904) 355-4149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY930 Florida

Profile Details

NPI number 1295124105
LBN Legal business name Ivey, Walter Warren
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2015
Last updated Jan 15th, 2015 - about 11 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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