Tallan, Eric Michael

Tallan, Eric Michael is an individual health care provider with primary practice located at 1919 Lathrop St. Ste 207, Fairbanks AK 99701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Tallan, Eric Michael can be contacted via phone (907) 456-7768.

Contact Information

Primary practice address
1919 Lathrop St. Ste 207 Fairbanks AK 99701
Phone: (907) 456-7768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 3111 Alaska

Profile Details

NPI number 1942390919
LBN Legal business name Tallan, Eric Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Dec 9th, 2010 - about 15 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 1942390919 NPPES
Alaska Other 040006075 MEDICARE RR
Alaska MEDICAID MD0112 MEDICARE RR

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