Staton, Ivy Jo

Staton, Ivy Jo is an individual health care provider with primary practice located at 4206 N Roxboro St Ste 130 , Durham NC 27704-1868. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Staton, Ivy Jo can be contacted via phone (919) 729-5048.

Contact Information

Primary practice address
4206 N Roxboro St Ste 130 Durham NC 27704-1868
Phone: (919) 729-5048
Fax: (919) 729-5038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 3870 North Carolina

Profile Details

NPI number 1235409681
LBN Legal business name Staton, Ivy Jo
Credentials LMBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2012
Last updated Jan 3rd, 2012 - about 14 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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