SOLOMON PORCH LLC NPI 1467838847

NPI Information

NPI: 1467838847
Provider Name: SOLOMON PORCH LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
626 2ND ST STE 101
FAIRBANKS, AK
ZIP 99701
Phone: (907) 350-4353
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SOLOMON PORCH LLC is a professional counselor in Fairbanks, AK. SOLOMON PORCH LLC NPI is 1467838847. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

626 2ND ST STE 101
FAIRBANKS, AK
ZIP 99701-466
Phone: (907) 350-4353

The provider's authorized official is Lisa Root .
The authorized official title is Sole Member and has the following contact phone number (907) 350-4353.

The enumeration date for this NPI number is 8/7/2015 and was last updated on 8/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	101191	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10031301	OTHER	ALASKA	ALASKA ENTITY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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