Deramus, Leonie Horster
Deramus, Leonie Horster is an individual health care provider with primary practice located at 1867 Airport Way Ste 130B, Fairbanks AK 99701-4056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Deramus, Leonie Horster can be contacted via phone (907) 452-2178.Contact Information
Primary practice address
1867 Airport Way Ste 130B
Fairbanks AK 99701-4056
Phone: (907) 452-2178
Fax: (907) 452-3524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2372 | Alaska |
Profile Details
| NPI number | 1275615197 |
|---|---|
| LBN Legal business name | Deramus, Leonie Horster |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jun 25th, 2008 - about 16 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 | 1275615197 | NPPES |
| Alaska | MEDICAID | MD2732 |
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