Bundtzen, Robert W
Bundtzen, Robert W is an individual health care provider with primary practice located at 4120 Laurel Street Suite 204, Anchorage AK 99508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bundtzen, Robert W can be contacted via phone (907) 561-4362.Contact Information
Primary practice address
4120 Laurel Street Suite 204
Anchorage AK 99508
Phone: (907) 561-4362
Fax: (907) 563-4498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD2056 | Alaska |
Profile Details
| NPI number | 1528034733 |
|---|---|
| LBN Legal business name | Bundtzen, Robert W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Nov 21st, 2008 - about 16 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 | 1528034733 | NPPES |
| Alaska | MEDICAID | MD2056 |
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