Pugh, Ivan Darrell
Pugh, Ivan Darrell is an individual health care provider with primary practice located at 2094 E State St Suite A, Salem OH 44460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pugh, Ivan Darrell can be contacted via phone (330) 337-2868.Contact Information
Primary practice address
2094 E State St Suite A
Salem OH 44460
Phone: (330) 337-2868
Fax: (330) 337-2875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34-00-7483-P | Ohio |
Profile Details
| NPI number | 1174513667 |
|---|---|
| LBN Legal business name | Pugh, Ivan Darrell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Dec 7th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174513667 | NPPES |
| Ohio | MEDICAID | 2890484 |
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