Tavira-Dean, Angeles M
Tavira-Dean, Angeles M is an sole proprietor health care provider with primary practice located at 1301 Wintergreen St , Anchorage AK 99508-3069. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Tavira-Dean, Angeles M can be contacted via phone (907) 770-6315.Contact Information
Primary practice address
1301 Wintergreen St
Anchorage AK 99508-3069
Phone: (907) 770-6315
Fax: (907) 770-1241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 436017 | Alaska |
Profile Details
| NPI number | 1174644355 |
|---|---|
| LBN Legal business name | Tavira-Dean, Angeles M |
| Credentials | DIRECTOR, OWNER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174644355 | NPPES |
| Alaska | MEDICAID | PCG224 |
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