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Contact Information

VANITY: AESTHETICS, DERMATOLOGY & WELLNESS, LLC
431 W 7TH AVE STE 204
ANCHORAGE, AK99501-3500
 Phone: 907-250-2511
 Fax: 888-908-9442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VANITY: AESTHETICS, DERMATOLOGY & WELLNESS, LLC

NPI # 1790278356
LBN Legal business name VANITY: AESTHETICS, DERMATOLOGY & WELLNESS, LLC
Authorized official JESIKA HARRELL - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2018
Last updated 06/08/2018 - About 8 years ago
Identifiers
AK License # PADA1252
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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