Albertson, David A
Albertson, David A is an individual health care provider with primary practice located at 130 Carlanna Lake Road , Ketchikan AK 99901. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Albertson, David A can be contacted via phone (907) 225-9631.Contact Information
Primary practice address
130 Carlanna Lake Road
Ketchikan AK 99901
Phone: (907) 225-9631
Fax: (907) 225-4591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 754 | Alaska |
Profile Details
| NPI number | 1265536379 |
|---|---|
| LBN Legal business name | Albertson, David A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265536379 | NPPES |
| Alaska | MEDICAID | DD0754 |
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