Mcilvaine, Joseph

Mcilvaine, Joseph is an individual health care provider with primary practice located at 1060 W Perimeter Rd Ste 3K43 , Jb Andrews MD 20762-6602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mcilvaine, Joseph can be contacted via phone (888) 999-1212.

Contact Information

Primary practice address
1060 W Perimeter Rd Ste 3K43 Jb Andrews MD 20762-6602
Phone: (888) 999-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1871097717
LBN Legal business name Mcilvaine, Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2018
Last updated Apr 25th, 2025 - 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 1871097717 NPPES
Nevada MEDICAID 1871097717

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