Roaten, Jeffrey Brent

Roaten, Jeffrey Brent is an individual health care provider with primary practice located at 4100 Lake Otis Pkwy Ste 312 , Anchorage AK 99508-5231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Roaten, Jeffrey Brent can be contacted via phone (907) 929-7337.

Contact Information

Primary practice address
4100 Lake Otis Pkwy Ste 312 Anchorage AK 99508-5231
Phone: (907) 929-7337
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 43121 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 6550 Alaska

Profile Details

NPI number 1558546788
LBN Legal business name Roaten, Jeffrey Brent
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Sep 24th, 2019 - about 6 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 1558546788 NPPES
Alaska MEDICAID MD1272

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