Mortensen, Robert Manning

Mortensen, Robert Manning is an individual health care provider with primary practice located at 2925 Debarr Rd Alaska Va Health Care System/Regional Office, (160), Anchorage AK 99508. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mortensen, Robert Manning can be contacted via phone (907) 257-4940.

Contact Information

Primary practice address
2925 Debarr Rd Alaska Va Health Care System/Regional Office, (160) Anchorage AK 99508
Phone: (907) 257-4940
Fax: (907) 257-4953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13666 Missouri

Profile Details

NPI number 1902863905
LBN Legal business name Mortensen, Robert Manning
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902863905 NPPES
Nebraska Other 5614 DENTAL LISENCE
Nebraska Other 13666 DENTAL LISENCE
Nebraska Other 5510 DENTAL LISENCE

Popular Providers