Mandich, Maria Eugenia

Mandich, Maria Eugenia is an individual health care provider with primary practice located at 1650 Cowles St , Fairbanks AK 99701-5925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Mandich, Maria Eugenia can be contacted via phone (907) 458-5556.

Contact Information

Primary practice address
1650 Cowles St Fairbanks AK 99701-5925
Phone: (907) 458-5556
Fax: (907) 458-5553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 3100 Alaska

Profile Details

NPI number 1326035809
LBN Legal business name Mandich, Maria Eugenia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326035809 NPPES
Alaska MEDICAID MD6192

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