Anderson, Alena Rose
Anderson, Alena Rose is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Anderson, Alena Rose can be contacted via phone (907) 458-2682.Contact Information
Primary practice address
1001 Noble St
Fairbanks AK 99701-4922
Phone: (907) 458-2682
Fax: (907) 458-2628
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 3739 | Alaska |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 3739 | Alaska |
Profile Details
NPI number | 1992770408 |
---|---|
LBN Legal business name | Anderson, Alena Rose |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 18th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1992770408 | NPPES |
Alaska | MEDICAID | MD37391 |
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