# DR. ERNEST RACKLEY IVEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568459212
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 44317-020 | WI | Yes |
| 2084F0202X | Forensic Psychiatry Physician | 44317-020 | WI | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | 44317-020 | WI | — |
| 2084P0800X | Psychiatry Physician | 44317-020 | WI | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 44317-020 | WI | — |
| 2084P0805X | Geriatric Psychiatry Physician | 0101232074 | VA | — |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | 44317-020 | WI | — |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 12/21/2022