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Contact Information

TIMOTHY J FAGGIONATO, PA-C
3260 PROVIDENCE DR
SUITE 200
ANCHORAGE, AK99508-4615
 Phone: 907-563-3145
 Fax: 907-561-3967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY J FAGGIONATO · (Male)

NPI Number 1437194990
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/18/2006
Last updated 10/22/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 444
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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