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FAIRWEATHER LLC NPI 1972842433


NPI Information

NPI: 1972842433
Provider Name: FAIRWEATHER LLC
Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 02D0974390

Address:
9525 KING ST
ANCHORAGE, AK
ZIP 99515
Phone: (907) 346-3247
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FAIRWEATHER LLC is a physician assistant in Anchorage, AK. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. FAIRWEATHER LLC NPI is 1972842433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9525 KING ST
ANCHORAGE, AK
ZIP 99515-817
Phone: (907) 346-3247
Fax: (907) 349-1920

The provider's authorized official is Amy Renee Bolam .
The authorized official title is Practice Manager and has the following contact phone number (907) 248-8008.

The CLIA number assigned to this NPI record is 02D0974390 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2013 and was last updated on 12/20/2013.


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
1363A00000XPhysician Assistant940479ALASKAYes

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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