Ivie, Holly

Ivie, Holly is an sole proprietor health care provider with primary practice located at 149 S Main St , Phoenix OR 97535-6631. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ivie, Holly can be contacted via phone (541) 535-4133.

Contact Information

Primary practice address
149 S Main St Phoenix OR 97535-6631
Phone: (541) 535-4133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1851934533
LBN Legal business name Ivie, Holly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2019
Last updated Oct 24th, 2019 - about 7 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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