Sahagun, Geronimo

Sahagun, Geronimo is an individual health care provider with primary practice located at 2841 Debarr Road Suite 50, Anchorage AK 99508-2932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sahagun, Geronimo can be contacted via phone (907) 276-2811.

Contact Information

Primary practice address
2841 Debarr Road Suite 50 Anchorage AK 99508-2932
Fax: (907) 276-2810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 3857 Alaska

Profile Details

NPI number 1043292865
LBN Legal business name Sahagun, Geronimo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Mar 25th, 2019 - about 5 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 1043292865 NPPES
Alaska MEDICAID MD38571

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