Alexander, Alisa Jocelyn

Alexander, Alisa Jocelyn is an sole proprietor health care provider with primary practice located at 1717 W Cowles St , Fairbanks AK 99701-5926. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Alexander, Alisa Jocelyn can be contacted via phone (907) 451-6682.

Contact Information

Primary practice address
1717 W Cowles St Fairbanks AK 99701-5926
Phone: (907) 451-6682
Fax: (907) 459-3811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7468 Alaska

Profile Details

NPI number 1215207253
LBN Legal business name Alexander, Alisa Jocelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2012
Last updated Dec 20th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215207253 NPPES
Alaska Other MEDS7468 ALASKA STATE LICENSE
Alaska MEDICAID 1579583 ALASKA STATE LICENSE

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