Straube, John L

Straube, John L is an sole proprietor health care provider with primary practice located at 2906 Boniface Pkwy 2906 Boniface Pkwy, Anchorage AK 99504-3132. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Straube, John L can be contacted via phone (907) 337-6453.

Contact Information

Primary practice address
2906 Boniface Pkwy 2906 Boniface Pkwy Anchorage AK 99504-3132
Phone: (907) 337-6453
Fax: (907) 338-6654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 481 Alaska

Profile Details

NPI number 1417096579
LBN Legal business name Straube, John L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417096579 NPPES
Alaska MEDICAID DDO481

Popular Providers