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Contact Information

DAVID N IVANICK, MD
550 17TH AVE STE 400
SEATTLE, WA98122-5789
 Phone: 206-320-3494
 Fax: 206-386-2845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DAVID N IVANICK · (Male)

NPI Number 1629430137
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2016
Last updated 01/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD61085807
  • WA Medicaid 1629430137
Hospital affiliation(s)
  • SWEDISH EDMONDS HOSPITAL - (Acute Care)
    21601 76TH AVENUE WEST
    EDMONDS, WA 98026
  • SWEDISH MEDICAL CENTER/CHERRY HILL - (Acute Care)
    500 17TH AVENUE
    SEATTLE, WA 98122
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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