Sra D.O. Llc

LBN: Sra D.O. Llc
Sra D.O. Llc is an health care organization with primary practice located at 2530 Debarr Rd , Anchorage AK 99508-2948. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as the primary health care specialty. Sra D.O. Llc can be contacted via phone (907) 258-7575, or through Augustin, Spencer Richard via phone (907) 529-0103.

Contact Information

Primary practice address
2530 Debarr Rd Anchorage AK 99508-2948
Phone: (907) 258-7575
Fax: (907) 561-7464
Website:
Map and Directions
Authorized official contact:
Name: Augustin, Spencer Richard Doctor of Osteopathy (DO)
Phone: (907) 529-0103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1164166088
LBN Legal business name Sra D.O. Llc
DBA Doing business as
Authorized official Augustin, Spencer Richard Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2022
Last updated Aug 23rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164166088 NPPES
Alaska MEDICAID 1730694

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