Canafax, Susan

Canafax, Susan is an sole proprietor health care provider with primary practice located at 2841 Debarr Rd Ste 25, Anchorage AK 99508-2967. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Canafax, Susan can be contacted via phone (907) 264-2322.

Contact Information

Primary practice address
2841 Debarr Rd Ste 25 Anchorage AK 99508-2967
Fax: (907) 264-2336
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 155 Alaska

Profile Details

NPI number 1396748844
LBN Legal business name Canafax, Susan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2005
Last updated Mar 8th, 2012 - about 12 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 1396748844 NPPES
Alaska MEDICAID 9319

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