Irvine, Jodi Ann

Irvine, Jodi Ann is an individual health care provider with primary practice located at 117 Slater Dr , Fairbanks AK 99701-3427. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Irvine, Jodi Ann can be contacted via phone (907) 451-0389.

Contact Information

Primary practice address
117 Slater Dr Fairbanks AK 99701-3427
Phone: (907) 451-0389
Fax: (907) 451-0210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Alaska

Profile Details

NPI number 1386850469
LBN Legal business name Irvine, Jodi Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 9th, 2007 - about 17 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 1386850469 NPPES
Alaska MEDICAID 2528

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