National Provider Identifier Database

ALASKA SPINE INSTITUTE SURGERY CENTER LLC
Ambulatory Surgical


Contact Information

ALASKA SPINE INSTITUTE SURGERY CENTER, LLC
3801 LAKE OTIS PKWY STE 100
ANCHORAGE, AK99508-5234
Phone: 907-563-1555
Fax: 907-563-1222
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for ALASKA SPINE INSTITUTE SURGERY CENTER, LLC

NPI Number 1316942048
Legal business name
LBN
ALASKA SPINE INSTITUTE SURGERY CENTER, LLC
Authorized official DANNA GRANT - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 06/17/2005
Last updated 12/08/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 719851
  • AK Medicaid: AS2249

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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