Mayschak, David T
Mayschak, David T is an sole proprietor health care provider with primary practice located at 5300 Shennum Dr , Wasilla AK 99654-7721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mayschak, David T can be contacted via phone (907) 354-0503.Contact Information
Primary practice address
5300 Shennum Dr
Wasilla AK 99654-7721
Phone: (907) 354-0503
Fax: (907) 376-7874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2132 | Alaska |
Profile Details
| NPI number | 1134210701 |
|---|---|
| LBN Legal business name | Mayschak, David T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134210701 | NPPES |
| Alaska | MEDICAID | MD99201 |
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