De Pasquale, John Matthew

De Pasquale, John Matthew is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. De Pasquale, John Matthew can be contacted via phone (907) 459-3520.

Contact Information

Primary practice address
1001 Noble St Fairbanks AK 99701-4922
Phone: (907) 459-3520
Fax: (907) 459-3554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 041280 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7302 Alaska

Profile Details

NPI number 1417075177
LBN Legal business name De Pasquale, John Matthew
Credentials MD, MPH, DTM&H
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
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 1417075177 NPPES
Alaska MEDICAID 1575616

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