Alfred D Deramus Md A Professional Corporation

LBN: Alfred D Deramus Md A Professional Corporation
Alfred D Deramus Md A Professional Corporation is an health care organization with primary practice located at 4001 Geist Rd Suite 9, Fairbanks AK 99709-3552. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Alfred D Deramus Md A Professional Corporation can be contacted via phone (907) 479-0852, or through Korsgren, Vanessa via phone (907) 479-0852.

Contact Information

Primary practice address
4001 Geist Rd Suite 9 Fairbanks AK 99709-3552
Phone: (907) 479-0852
Fax: (907) 479-0859
Website:
Map and Directions
Authorized official contact:
Name: Korsgren, Vanessa
Phone: (907) 479-0852

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD1850 Alaska

Profile Details

NPI number 1730417619
LBN Legal business name Alfred D Deramus Md A Professional Corporation
DBA Doing business as
Authorized official Korsgren, Vanessa
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2009
Last updated Dec 3rd, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730417619 NPPES
Alaska MEDICAID MD1850

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