Llewellyn, Joseph Henry

Llewellyn, Joseph Henry is an individual health care provider with primary practice located at 3750 E Country Field Cir Ste D , Wasilla AK 99654-6659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Llewellyn, Joseph Henry can be contacted via phone (907) 357-6121.

Contact Information

Primary practice address
3750 E Country Field Cir Ste D Wasilla AK 99654-6659
Fax: (907) 357-6171
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2767 Alaska

Profile Details

NPI number 1528068285
LBN Legal business name Llewellyn, Joseph Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Feb 3rd, 2023 - about last year

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 1528068285 NPPES
Alaska MEDICAID MD02041

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