Healthcare Provider Details

I. General information

NPI: 1437382017
Provider Name (Legal Business Name): STEVEN ALLEN IHRKE MSN-CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2009
Last Update Date: 03/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 N REYNOLDS RD
TOLEDO OH
43615-2035
US

IV. Provider business mailing address

12752 KINGSTON PIKE STE E202
KNOXVILLE TN
37934-0948
US

V. Phone/Fax

Practice location:
  • Phone: 419-578-7700
  • Fax:
Mailing address:
  • Phone: 865-777-0909
  • Fax: 865-777-0910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1122453
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number6355A
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number48096
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN153885
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: