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Contact Information

DIANE A LITTLE EAGLE
3550 AIRPORT WAY
4
FAIRBANKS, AK99709-4772
 Phone: 907-479-2331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for DIANE A LITTLE EAGLE · (Female)

NPI Number 1235581885
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2016
Last updated 07/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AK License # ACUA25
  • AK Medicaid 1643831
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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