Ivy, Renee

Ivy, Renee is an individual health care provider with primary practice located at 7060 Madison St , Merrillville IN 46410-3452. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Ivy, Renee can be contacted via phone (219) 840-8209.

Contact Information

Primary practice address
7060 Madison St Merrillville IN 46410-3452
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1457717183
LBN Legal business name Ivy, Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2016
Last updated Jan 14th, 2016 - about 10 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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