Petaloso

LBN: Petaloso Inc
Petaloso is an health care organization with primary practice located at 1867 Airport Way Ste 110B , Fairbanks AK 99701-4054. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Petaloso Inc can be contacted via phone (907) 978-7721, or through Stables, Janice L via phone (907) 978-7721.

Contact Information

Primary practice address
1867 Airport Way Ste 110B Fairbanks AK 99701-4054
Phone: (907) 978-7721
Fax: (907) 452-6330
Website:
Map and Directions
Authorized official contact:
Name: Stables, Janice L MSN, ANP
Phone: (907) 978-7721

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 420 Alaska

Profile Details

NPI number 1982059952
LBN Legal business name Petaloso Inc
DBA Doing business as Petaloso
Authorized official Stables, Janice L MSN, ANP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2016
Last updated Apr 27th, 2016 - about 8 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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