Login, Ivan S.

Login, Ivan S. is an individual health care provider with primary practice located at Lee St , Charlottesville VA 22908-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Login, Ivan S. can be contacted via phone (434) 924-0000.

Contact Information

Primary practice address
Lee St Charlottesville VA 22908-0001
Phone: (434) 924-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101031315 Virginia

Profile Details

NPI number 1043389679
LBN Legal business name Login, Ivan S.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jun 15th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1043389679 NPPES
Virginia MEDICAID 7586141

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