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Contact Information

IVAN L SLAVICH III, DO
2375 CHAMPIONS BLVD
AUBURN, AL36830-6471
 Phone: 334-321-3809
 Fax: 334-321-3798
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IVAN L SLAVICH III · (Male)

NPI # 1669587960
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/20/2006
Last updated 11/14/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # DO222
  • AL Medicaid 009911604
  • AL Medicaid 009911606
  • AL Medicaid 009911607
  • AL Medicaid 009911613
  • AL Medicaid 009911614
  • AL Medicaid 009911616
  • AL Medicaid 009911617
  • AL Medicaid 009911618
  • AL Medicaid 009911619
  • AL Medicaid 009911621
  • AL Medicaid 009911622
  • AL Other 051542103 BCBS PROVIDER NUMBER
  • AL Other 051542105 BCBS PROVIDER NUMBER
  • AL Other 051542107 BCBS PROVIDER NUMBER
  • AL Other 051542108 BCBS PROVIDER NUMBER
  • AL Other 051542109 BCBS PROVIDER NUMBER
  • AL Other 051542110 BCBS PROVIDER NUMBER
  • AL Other 1669587960 NPI
Hospital affiliation(s)
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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