Thurmond, Roger Dean
Thurmond, Roger Dean is an individual health care provider with primary practice located at 4001 Geist Rd Suite 8, Fairbanks AK 99709-3552. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thurmond, Roger Dean can be contacted via phone (907) 456-8899.Contact Information
Primary practice address
4001 Geist Rd Suite 8
Fairbanks AK 99709-3552
Phone: (907) 456-8899
Fax: (907) 456-8806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2349 | Alaska |
Profile Details
| NPI number | 1942350335 |
|---|---|
| LBN Legal business name | Thurmond, Roger Dean |
| Credentials | M.D.,P.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jan 8th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942350335 | NPPES |
| Alaska | MEDICAID | MD2349 |
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