Ernest Rackley Ivey in Winnebago - Legal Medicine

Ernest Rackley Ivey - NPI 1568459212

Ernest Rackley Ivey is a Legal Medicine in Winnebago, Wisconsin. Ernest Rackley Ivey practices all healthcare services and medical treatments related to Legal Medicine. The NPI Number for Ernest Rackley Ivey is 1568459212. The last update date is 2022-12-21.

Ernest Rackley Ivey's current location address is 1300 South Drive, Winnebago, Wisconsin. You can contact this provider via phone number 9202354910 and fax number 9202372800. The mailing address for Ernest Rackley Ivey is 1300 South Drive, Winnebago, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Ernest Rackley Ivey
Address 1300 South Drive, Winnebago, Wisconsin
Phone Number 9202354910
Fax Number 9202372800
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1568459212
Provider Enumeration Date 2005-09-27
Last Updated Date 2022-12-21

Provider Mailing Address Detail

Address 1300 South Drive
City Winnebago
State Wisconsin (WI)
Post Code 549850009
Phone Number 9202354910
Fax Number 9202372800

Provider's Primary Taxonomy Detail

Speciality Legal Medicine
Taxonomy 209800000X
Licence No 44317-020
Definition:
Legal Medicine is a special field of medicine that focuses on various aspects of medicine and law. Historically, the practice of legal medicine made contributions to medicine as a scientific instrument to solve criminal perplexities. Since World War

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19248 SC MEDICAL LICENSE
67772 GA MEDICAL LICENSE
036-103584 IL MEDICAL LICENSE
44317-20 WI MEDICAL LICENSE
101232074 VA MEDICAL LICENSE
11027179 CAQH
3428920 WI --

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FAQs about Ernest Rackley Ivey

What is the Ernest Rackley Ivey's unique identification number?

The Ernest Rackley Ivey has been assigned the NPI (National Provider Identifier) Number 1568459212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

What is the unique 10-digit identification code assigned to Ernest Rackley Ivey by the Centers for Medicare & Medicaid Services?

The Ernest Rackley Ivey has been issued the NPI (National Provider Identifier) 1568459212, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Ernest Rackley Ivey is physically located?

The Ernest Rackley Ivey is physically situated at the following address: 1300 South Drive, Winnebago, WI, 549850009.

On what date did the Ernest Rackley Ivey receive its 1568459212 assignment from the Centers for Medicare & Medicaid Services?

The Ernest Rackley Ivey was assigned its 1568459212 by the Centers for Medicare & Medicaid Services on 2005-09-27.

As of what date were the details related to Ernest Rackley Ivey most recently updated or revised?

The information pertaining to Ernest Rackley Ivey, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-21.

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