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Contact Information

MEADOW CREEK HEALTHCARE LLC
16839 PARK PLACE ST
SAME
EAGLE RIVER, AK99577-7819
 Phone: 907-694-3303
 Fax: 907-694-4773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MEADOW CREEK HEALTHCARE LLC · (Female)

NPI # 1376835355
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2011
Last updated 05/09/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • AK License # 423
  • AK Medicaid MPG0123
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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