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FAIRBANKS PSYCHIATRIC AND NEUROLOGICAL CLINIC A PROF CORP NPI 1518075100


NPI Information

NPI: 1518075100
Provider Name: FAIRBANKS PSYCHIATRIC AND NEUROLOGICAL CLINIC A PROF CORP
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1919 LATHROP ST
SUITE 220
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-1739
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FAIRBANKS PSYCHIATRIC AND NEUROLOGICAL CLINIC A PROF CORP is a neurology psychiatry neurology in Fairbanks, AK. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. FAIRBANKS PSYCHIATRIC AND NEUROLOGICAL CLINIC A PROF CORP NPI is 1518075100. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1919 LATHROP ST
SUITE 220
FAIRBANKS, AK
ZIP 99701-937
Phone: (907) 452-1739
Fax: (907) 452-2384

The provider's authorized official is Joseph E Beaty .
The authorized official title is Billing Agent and has the following contact phone number (907) 770-2301.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 1/16/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

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

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