National Provider Identifier Database

ALL SEASONS FAMILY HEALTH CARE
Primary Care


Contact Information

ALL SEASONS FAMILY HEALTH CARE
5461 E MAYFLOWER LN
SUITE 4
WASILLA, AK99654-7817
Phone: 907-376-4644
Fax:
Website:
Specialty Taxonomy Code
* Primary Care 363LP2300X

* Indicates primary specialty

NPI Profile & details for ALL SEASONS FAMILY HEALTH CARE

NPI Number 1285833103
Legal business name
LBN
ALL SEASONS FAMILY HEALTH CARE
Authorized official ELLEN LENTZ - (NURSE PRACTIONER)
Entity Organization
Organization subpart No
Enumeration date 07/11/2007
Last updated 06/25/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 0554
  • AK Medicaid: NP05541
  • AK Medicaid: NP05542

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.

Reviews for ALL SEASONS FAMILY HEALTH CARE

There are currently no reviews for ALL SEASONS FAMILY HEALTH CARE


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