National Provider Identifier Database

SUSITNA SURGERY CENTER LLC
Ambulatory Surgical


Contact Information

SUSITNA SURGERY CENTER LLC
2490 S WOODWORTH LOOP STE 100
PALMER, AK99645-7410
Phone: 907-861-6540
Fax: 907-861-6309
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for SUSITNA SURGERY CENTER LLC

NPI Number 1073009304
Legal business name
LBN
SUSITNA SURGERY CENTER LLC
Authorized official KRISTY MUSIC - (AO-DIRECTOR, PROVIDER ENROLLMENT)
Entity Organization
Organization subpart No
Enumeration date 07/10/2018
Last updated 08/21/2024 - 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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