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Contact Information

NADINE R CAPTAIN
110 2ND AVE
FAIRBANKS, AK99701-4809
 Phone: 907-452-7946
 Fax: 907-452-7942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for NADINE R CAPTAIN · (Female)

NPI Number 1376815316
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2012
Last updated 02/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • AK Medicaid MH0157
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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