Campaign, Patrick Wayne

Campaign, Patrick Wayne is an sole proprietor health care provider with primary practice located at 1231 W Northern Lights Blvd Suite 423, Anchorage AK 99503-2337. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Campaign, Patrick Wayne can be contacted via phone (907) 306-3182.

Contact Information

Primary practice address
1231 W Northern Lights Blvd Suite 423 Anchorage AK 99503-2337
Phone: (907) 306-3182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 338 Alaska

Profile Details

NPI number 1659606739
LBN Legal business name Campaign, Patrick Wayne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2009
Last updated Mar 22nd, 2017 - about 9 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 1659606739 NPPES
Alaska MEDICAID 1597821

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