Davidhizar, Lavern R

Davidhizar, Lavern R is an individual health care provider with primary practice located at 206 W Rockwell Ave Suite 100, Soldotna AK 99669-7411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davidhizar, Lavern R can be contacted via phone (907) 262-7566.

Contact Information

Primary practice address
206 W Rockwell Ave Suite 100 Soldotna AK 99669-7411
Phone: (907) 262-7566
Fax: (907) 262-0809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1454 Alaska

Profile Details

NPI number 1154334381
LBN Legal business name Davidhizar, Lavern R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Oct 16th, 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 1154334381 NPPES
Alaska Other 0000WCHHM MEDICARE GROUP NUMBER
Alaska MEDICAID MD1454 MEDICARE GROUP NUMBER

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