NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SUSAN L IVEY, MD
2140 SHATTUCK AVE
10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPH
BERKELEY, CA94704-1210
 Phone: 510-643-1883
 Fax: 510-643-7976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SUSAN L IVEY · (Female)

NPI Number 1003004169
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2007
Last updated 10/12/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C43335
Hospital affiliation(s) Not Available
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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