Race, Amanda

Race, Amanda is an individual health care provider with primary practice located at 122 1St Ave Suite 600, Fairbanks AK 99701-4803. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Race, Amanda can be contacted via phone (907) 452-8251.

Contact Information

Primary practice address
122 1St Ave Suite 600 Fairbanks AK 99701-4803
Phone: (907) 452-8251
Fax: (907) 459-3883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1346457785
LBN Legal business name Race, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 15th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346457785 NPPES
Alaska MEDICAID CM2668
Alaska MEDICAID CMG438

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