Grendahl, Robin
Grendahl, Robin is an individual health care provider with primary practice located at 3500 Latouche St Suite 280, Anchorage AK 99508-4209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Grendahl, Robin can be contacted via phone (907) 561-1917.Contact Information
Primary practice address
3500 Latouche St Suite 280
Anchorage AK 99508-4209
Phone: (907) 561-1917
Fax: (907) 563-5373
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD3686 | Alaska |
Profile Details
NPI number | 1730281684 |
---|---|
LBN Legal business name | Grendahl, Robin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2006 |
Last updated | Oct 4th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730281684 | NPPES |
Alaska | MEDICAID | MD3686 |
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