Attla, Marilyn Elaine
Attla, Marilyn Elaine is an sole proprietor health care provider with primary practice located at 1717 W Cowles St C.A.I.H.C., Fairbanks AK 99701-5926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Attla, Marilyn Elaine can be contacted via phone (907) 451-6682.Contact Information
Primary practice address
1717 W Cowles St C.A.I.H.C.
Fairbanks AK 99701-5926
Phone: (907) 451-6682
Fax: (907) 459-3817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 320 | Alaska |
Profile Details
| NPI number | 1679563829 |
|---|---|
| LBN Legal business name | Attla, Marilyn Elaine |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 14th, 2022 - about 3 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 | 1679563829 | NPPES |
| Alaska | MEDICAID | MDA0401 |
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