Alexander, Gregory Charles

Alexander, Gregory Charles is an individual health care provider with primary practice located at 122 1St Ave Suite 600, Fairbanks AK 99701-4803. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Alexander, Gregory Charles can be contacted via phone (907) 459-3800.

Contact Information

Primary practice address
122 1St Ave Suite 600 Fairbanks AK 99701-4803
Phone: (907) 459-3800
Fax: (907) 459-3835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1598948408
LBN Legal business name Alexander, Gregory Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2007
Last updated Dec 19th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598948408 NPPES
Alaska MEDICAID DA4380

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