Ellerbe, Dwight M

Ellerbe, Dwight M is an individual health care provider with primary practice located at 3841 Piper St Suite T230, Anchorage AK 99508. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Ellerbe, Dwight M can be contacted via phone (907) 279-8800.

Contact Information

Primary practice address
3841 Piper St Suite T230 Anchorage AK 99508
Phone: (907) 279-8800
Fax: (907) 279-8810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 1275 Alaska
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 1275 Alaska
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 1275 Alaska

Profile Details

NPI number 1992778401
LBN Legal business name Ellerbe, Dwight M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Aug 26th, 2013 - about 12 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 1992778401 NPPES
Alaska MEDICAID MD12751

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