Mat-Su Plastic Surgery Llc

LBN: Mat-Su Plastic Surgery Llc
Mat-Su Plastic Surgery Llc is an health care organization with primary practice located at 2490 S Woodworth Loop Suite 310, Palmer AK 99645-7405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Mat-Su Plastic Surgery Llc can be contacted via phone (907) 746-6100, or through Dean, Susan J via phone (704) 859-6261.

Contact Information

Primary practice address
2490 S Woodworth Loop Suite 310 Palmer AK 99645-7405
Phone: (907) 746-6100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dean, Susan J Doctor of Medicine (MD)
Phone: (704) 859-6261

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 6242 Alaska

Profile Details

NPI number 1861776791
LBN Legal business name Mat-Su Plastic Surgery Llc
DBA Doing business as
Authorized official Dean, Susan J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2011
Last updated Oct 11th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861776791 NPPES
North Carolina MEDICAID 8928018

Popular Providers