National Provider Identifier Database

MC CHILDRENS DOCTOR
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

MC CHILDREN'S DOCTOR
9443 AYAGINAR DR.
BETHEL, AK99559
Phone: 970-210-2944
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for MC CHILDREN'S DOCTOR

NPI Number 1366251704
Legal business name
LBN
MC CHILDREN'S DOCTOR
Authorized official CORMAC SOOKRAM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/31/2024
Last updated 01/23/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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