Joosse, John W.

Joosse, John W. is an sole proprietor health care provider with primary practice located at 1411 19Th Ave , Fairbanks AK 99701-5902. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Joosse, John W. can be contacted via phone (907) 456-5803.

Contact Information

Primary practice address
1411 19Th Ave Fairbanks AK 99701-5902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0980 Alaska

Profile Details

NPI number 1609981265
LBN Legal business name Joosse, John W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609981265 NPPES
Alaska MEDICAID MD0980

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