Dodds, Debra Lee

Dodds, Debra Lee is an individual health care provider with primary practice located at 1825 Marika Rd , Fairbanks AK 99709-5521. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Dodds, Debra Lee can be contacted via phone (907) 474-0890.

Contact Information

Primary practice address
1825 Marika Rd Fairbanks AK 99709-5521
Phone: (907) 474-0890
Fax: (907) 474-3621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1487923900
LBN Legal business name Dodds, Debra Lee
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2011
Last updated Dec 29th, 2011 - about 13 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 1487923900 NPPES
Alaska MEDICAID MH3237

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