Romero, Ivan R
Romero, Ivan R is an individual health care provider with primary practice located at 9305 W Thomas Rd Suite 275, Phoenix AZ 85037-3328. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Romero, Ivan R can be contacted via phone (623) 327-4144.Contact Information
Primary practice address
9305 W Thomas Rd Suite 275
Phoenix AZ 85037-3328
Phone: (623) 327-4144
Fax: (623) 327-4140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2988 | Arizona |
Profile Details
| NPI number | 1649249236 |
|---|---|
| LBN Legal business name | Romero, Ivan R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Mar 17th, 2008 - about 18 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 | 1649249236 | NPPES |
| Arizona | MEDICAID | 859126 |
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