Clarice Grandpre Md Llc

LBN: Clarice Grandpre Md Llc
Clarice Grandpre Md Llc is an health care organization with primary practice located at 995 Ellesmere Dr , Fairbanks AK 99709-5759. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clarice Grandpre Md Llc can be contacted via phone (907) 479-8101, or through Grandpre, Clarice via phone (907) 479-8101.

Contact Information

Primary practice address
995 Ellesmere Dr Fairbanks AK 99709-5759
Phone: (907) 479-8101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grandpre, Clarice Doctor of Medicine (MD)
Phone: (907) 479-8101

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2983 Alaska

Profile Details

NPI number 1598103095
LBN Legal business name Clarice Grandpre Md Llc
DBA Doing business as
Authorized official Grandpre, Clarice Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2013
Last updated Jun 3rd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598103095 NPPES
Alaska MEDICAID 1610205

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