Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | B00470 | NV |
NPI | 1639170954 |
---|---|
Provider Name | Dr. Ivagene P. Hults |
First Address | Las Vegas, NV 89119-4556 |
Second Address | Las Vegas, NV 89119-6541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1006922 | FOCUS HEALTHCARE MGT. (01) | NV |
18825 | DC LICENSE (01) | CA |
737260 | FIRSTS HEALTH (01) | NV |
865091 | USA MANAGED CARE (01) | NV |
9156671 | PHCS (01) | NV |
B00470 | DC LICENSE (01) | NV |
NVIPH-HCR | EDI SUBMITTER ID FOR IVA (01) | NV |
P-65814852 | MULTIPLAN, INC. (01) | NV |
U40081 | (02) | NV |