Healthcare Provider Details

I. General information

NPI: 1265790885
Provider Name (Legal Business Name): MR. IVO CHIFON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE SUITE 117 GLOBAL HEALTHCARE INC.
NE DC
20002
US

IV. Provider business mailing address

1818 NEW YORK AVE SUITE 117 GLOBAL HEALTHCARE INC.
NE DC
20002
US

V. Phone/Fax

Practice location:
  • Phone: 202-480-0813
  • Fax: 202-503-2363
Mailing address:
  • Phone: 202-480-0813
  • Fax: 202-503-2363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: