Hawk, Angela Lynn

Hawk, Angela Lynn is an individual health care provider with primary practice located at 116 Minnie St , Fairbanks AK 99701-3006. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Hawk, Angela Lynn can be contacted via phone (907) 456-7760.

Contact Information

Primary practice address
116 Minnie St Fairbanks AK 99701-3006
Fax: (907) 451-7916
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 299 Alaska

Profile Details

NPI number 1013232305
LBN Legal business name Hawk, Angela Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2010
Last updated Nov 15th, 2016 - about 8 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 1013232305 NPPES
Alaska MEDICAID OP0004

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