Ivanoff, Deborah
Ivanoff, Deborah is an sole proprietor health care provider with primary practice located at 306 West 5Th Ave , Nome AK 99762. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Ivanoff, Deborah can be contacted via phone (907) 443-3309.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 06-029-EFDHA1 | Alaska |
Profile Details
| NPI number | 1699044941 |
|---|---|
| LBN Legal business name | Ivanoff, Deborah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2011 |
| Last updated | Dec 15th, 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 | 1699044941 | NPPES |
| Alaska | MEDICAID | 06-029-EFDHA1 |
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