Anderson, Alena Rose

Anderson, Alena Rose is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Anderson, Alena Rose can be contacted via phone (907) 458-2682.

Contact Information

Primary practice address
1001 Noble St Fairbanks AK 99701-4922
Phone: (907) 458-2682
Fax: (907) 458-2628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3739 Alaska
Allopathic & Osteopathic Physicians / General Practice 208D00000X 3739 Alaska

Profile Details

NPI number 1992770408
LBN Legal business name Anderson, Alena Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2006
Last updated Mar 7th, 2023 - 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 1992770408 NPPES
Alaska MEDICAID MD37391

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