Provider Demographics
NPI:1366992786
Name:RICK IVENS INC
Entity type:Organization
Organization Name:RICK IVENS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:L
Authorized Official - Last Name:IVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-629-0200
Mailing Address - Street 1:25560 BUSINESS PARK
Mailing Address - Street 2:UNIT 2A
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-4292
Mailing Address - Country:US
Mailing Address - Phone:302-629-0200
Mailing Address - Fax:
Practice Address - Street 1:25560 BUSINESS PARK
Practice Address - Street 2:UNIT 2A
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-4292
Practice Address - Country:US
Practice Address - Phone:302-629-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE03-0000253332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment