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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275615197 NPPES
Alaska MEDICAID MD2732

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