ORTHOPAEDIC TRIAGE OF FAIRBANKS, INC; NPI #1629240874

Contact Information

ORTHOPAEDIC TRIAGE OF FAIRBANKS, INC

1919 LATHROP, SUITE 209
FAIRBANKS, AK 99701

Phone: 907-452-4469
Fax: 907-451-9480
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for ORTHOPAEDIC TRIAGE OF FAIRBANKS, INC

NPI Number 1629240874

LBN Legal business name ORTHOPAEDIC TRIAGE OF FAIRBANKS, INC

Authorized official MICHAEL WEBER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/27/2008

Last updated 07/24/2013 - About 13 years ago

Identifiers

AK	License #	171
AK	Medicaid	MD45451

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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ORTHOPAEDIC TRIAGE OF FAIRBANKS, INC

Contact Information

Specialty

Surgical

NPI Profile & details for ORTHOPAEDIC TRIAGE OF FAIRBANKS, INC

Reviews for ORTHOPAEDIC TRIAGE OF FAIRBANKS, INC