Priebe, Derek N
Priebe, Derek N is an sole proprietor health care provider with primary practice located at 3401 Denali St 203, Anchorage AK 99503-4034. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Priebe, Derek N can be contacted via phone (907) 563-2828.Contact Information
Primary practice address
3401 Denali St 203
Anchorage AK 99503-4034
Phone: (907) 563-2828
Fax: (907) 561-0374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 1089.131 | Alaska |
Profile Details
| NPI number | 1619096203 |
|---|---|
| LBN Legal business name | Priebe, Derek N |
| Credentials | DDS MDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 8th, 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 | 1619096203 | NPPES |
| Alaska | MEDICAID | DD1590 |
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