Carroll, Alisa Christine

Carroll, Alisa Christine is an individual health care provider with primary practice located at 4001 Lake Otis Pkwy Ste 201 , Anchorage AK 99508-5200. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as her primary health care specialty. Carroll, Alisa Christine can be contacted via phone (907) 569-5557.

Contact Information

Primary practice address
4001 Lake Otis Pkwy Ste 201 Anchorage AK 99508-5200
Phone: (907) 569-5557
Fax: (907) 569-5562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 2182 Alaska

Profile Details

NPI number 1740594183
LBN Legal business name Carroll, Alisa Christine
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Oct 7th, 2010 - about 15 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 1740594183 NPPES
Alaska MEDICAID MPG0133
Alaska Other 613517700

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