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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386850469 | NPPES |
| Alaska | MEDICAID | 2528 |
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