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Contact Information

FAIRBANKS FOOT & ANKLE INC.
1405 KELLUM ST.
STE 200
FAIRBANKS, AK99701
 Phone: 907-451-9202
 Fax: 907-452-6256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FAIRBANKS FOOT & ANKLE INC.

NPI Number 1659687945
LBN Legal business name FAIRBANKS FOOT & ANKLE INC.
Authorized official RALPH DIXON - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2010
Last updated 08/24/2010 - About 16 years ago
Identifiers
AK License # 2810
AK Medicaid PD2810
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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