Fairbanks Pain Consulting, Llc

LBN: Fairbanks Pain Consulting, Llc
Fairbanks Pain Consulting, Llc is an health care organization with primary practice located at 1919 Lathrop St Suite 221, Fairbanks AK 99701-5937. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Fairbanks Pain Consulting, Llc can be contacted via phone (907) 458-5638, or through Jiang, Shan via phone (907) 458-5638.

Contact Information

Primary practice address
1919 Lathrop St Suite 221 Fairbanks AK 99701-5937
Phone: (907) 458-5638
Fax: (907) 458-6415
Website:
Map and Directions
Authorized official contact:
Name: Jiang, Shan Doctor of Medicine (MD)
Phone: (907) 458-5638

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X 124884 Alaska

Profile Details

NPI number 1932436672
LBN Legal business name Fairbanks Pain Consulting, Llc
DBA Doing business as
Authorized official Jiang, Shan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2009
Last updated Nov 16th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932436672 NPPES
Alaska MEDICAID MD2985

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