Bouse, Floyd Fredick

Bouse, Floyd Fredick is an sole proprietor health care provider with primary practice located at 3745 Geist Rd , Fairbanks AK 99709-3548. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bouse, Floyd Fredick can be contacted via phone (907) 479-2208.

Contact Information

Primary practice address
3745 Geist Rd Fairbanks AK 99709-3548
Phone: (907) 479-2208
Fax: (907) 474-8488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 404 Alaska

Profile Details

NPI number 1689843252
LBN Legal business name Bouse, Floyd Fredick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2008
Last updated Feb 27th, 2008 - about 17 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 1689843252 NPPES
Alaska Other 0005931238 AETNA
Alaska Other 920074602F001 AETNA
Alaska Other 93422077280001 AETNA
Alaska Other 00008699 AETNA
Alaska Other 825962 AETNA
Alaska Other 207728100000 AETNA

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