Bancroft, Edward
Bancroft, Edward is an sole proprietor health care provider with primary practice located at 4045 Lake Otis Pkwy Ste 203, Anchorage AK 99508-5227. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bancroft, Edward can be contacted via phone (907) 562-2020.Contact Information
Primary practice address
4045 Lake Otis Pkwy Ste 203
Anchorage AK 99508-5227
Phone: (907) 562-2020
Fax: (907) 563-4821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 119 | Alaska |
Profile Details
| NPI number | 1184725202 |
|---|---|
| LBN Legal business name | Bancroft, Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Nov 25th, 2008 - about 18 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 | 1184725202 | NPPES |
| Alaska | MEDICAID | OD1190 | |
| Alaska | MEDICAID | OP1190 |
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