Deramus, Alfred David
Deramus, Alfred David is an sole proprietor health care provider with primary practice located at 4001 Geist Rd Ste 9, Fairbanks AK 99709-3569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Deramus, Alfred David can be contacted via phone (907) 479-0852.Contact Information
Primary practice address
4001 Geist Rd Ste 9
Fairbanks AK 99709-3569
Phone: (907) 479-0852
Fax: (907) 479-0859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD1850 | Alaska |
Profile Details
| NPI number | 1336145788 |
|---|---|
| LBN Legal business name | Deramus, Alfred David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Nov 17th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336145788 | NPPES |
| Alaska | MEDICAID | MD1850 |
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