Agnes, Alyssa Marie
Agnes, Alyssa Marie is an individual health care provider with primary practice located at 1521 S Cushman St , Fairbanks AK 99701-6203. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Agnes, Alyssa Marie can be contacted via phone (907) 452-8251.Contact Information
Primary practice address
1521 S Cushman St
Fairbanks AK 99701-6203
Phone: (907) 452-8251
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Alaska |
Profile Details
| NPI number | 1740849819 |
|---|---|
| LBN Legal business name | Agnes, Alyssa Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2019 |
| Last updated | Jun 12th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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