Koehler, Danita Nevitt

Koehler, Danita Nevitt is an sole proprietor health care provider with primary practice located at 1060 Gaffney Rd , Ft Wainwright AK 99703-5001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Koehler, Danita Nevitt can be contacted via phone (907) 361-5345.

Contact Information

Primary practice address
1060 Gaffney Rd Ft Wainwright AK 99703-5001
Phone: (907) 361-5345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3184 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3184 Alaska

Profile Details

NPI number 1750455150
LBN Legal business name Koehler, Danita Nevitt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Dec 21st, 2011 - about 15 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 1750455150 NPPES
Alaska MEDICAID 11272

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