Wise, Duane W
Wise, Duane W is an individual health care provider with primary practice located at 2915 Drake Dr , Anchorage AK 99508-4481. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Wise, Duane W can be contacted via phone (907) 274-5256.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | 29725 | Alaska |
Profile Details
| NPI number | 1245369594 |
|---|---|
| LBN Legal business name | Wise, Duane W |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1245369594 | NPPES |
| Alaska | MEDICAID | EM0682 |
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