Dodge, Ross William

Dodge, Ross William is an individual health care provider with primary practice located at 5955 Zeamer Avenue , Jber AK 99506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dodge, Ross William can be contacted via phone (907) 580-3205.

Contact Information

Primary practice address
5955 Zeamer Avenue Jber AK 99506
Phone: (907) 580-3205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6769 Alaska
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 6769 Alaska

Profile Details

NPI number 1881850949
LBN Legal business name Dodge, Ross William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Oct 23rd, 2014 - about 11 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 1881850949 NPPES
Alaska MEDICAID 1599973

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