Dale, Thomas Manford

Dale, Thomas Manford is an individual health care provider with primary practice located at 1650 Cowles St , Fairbanks AK 99701-5925. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dale, Thomas Manford can be contacted via phone (907) 458-5555.

Contact Information

Primary practice address
1650 Cowles St Fairbanks AK 99701-5925
Phone: (907) 458-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 475 Alaska

Profile Details

NPI number 1588651053
LBN Legal business name Dale, Thomas Manford
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Oct 9th, 2017 - about 8 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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