North Star Plastic Surgery Llc

LBN: North Star Plastic Surgery Llc
North Star Plastic Surgery Llc is an health care organization with primary practice located at 1919 Lathrop St Ste 205 , Fairbanks AK 99701-5942. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. North Star Plastic Surgery Llc can be contacted via phone (907) 416-5611, or through Martell, Erick via phone (305) 761-1934.

Contact Information

Primary practice address
1919 Lathrop St Ste 205 Fairbanks AK 99701-5942
Phone: (907) 416-5611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martell, Erick Doctor of Medicine (MD)
Phone: (305) 761-1934

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1417653569
LBN Legal business name North Star Plastic Surgery Llc
DBA Doing business as
Authorized official Martell, Erick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2023
Last updated Sep 13th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417653569 NPPES
Alaska MEDICAID 1720992

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