Impson, Karen Dyan
Impson, Karen Dyan is an sole proprietor health care provider with primary practice located at 3719 E Meridian Loop Suite D, Wasilla AK 99654-7270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Impson, Karen Dyan can be contacted via phone (907) 373-7337.Contact Information
Primary practice address
3719 E Meridian Loop Suite D
Wasilla AK 99654-7270
Phone: (907) 373-7337
Fax: (907) 357-9029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4300 | Alaska |
Profile Details
| NPI number | 1427167113 |
|---|---|
| LBN Legal business name | Impson, Karen Dyan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1427167113 | NPPES |
| Alaska | MEDICAID | MD10661 |
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