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:
Health care specialties
| Specialty | Code | License # | 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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