Provider Demographics
NPI:1558007567
Name:IVEY, ANTHONY SEPH
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:SEPH
Last Name:IVEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ANTHONY
Other - Middle Name:SEPH
Other - Last Name:IVEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2100 WELTON ST APT 1519
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4074
Mailing Address - Country:US
Mailing Address - Phone:720-397-3608
Mailing Address - Fax:303-626-8486
Practice Address - Street 1:2100 WELTON ST APT 1519
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4074
Practice Address - Country:US
Practice Address - Phone:303-459-2420
Practice Address - Fax:303-626-8486
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker