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Contact Information

DEANA K GLICK, PA-C
4951 BUSINESS PARK BLVD
ANCHORAGE, AK99503
 Phone: 907-743-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DEANA K GLICK · (Female)

NPI # 1457722118
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/07/2015
Last updated 05/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 103337
  • AK Medicaid 1636243
Hospital affiliation(s)
  • ALASKA REGIONAL HOSPITAL - (Acute Care)
    2801 DEBARR ROAD
    ANCHORAGE, AK 99508
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
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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