Dove, Myra C

Dove, Myra C is an individual health care provider with primary practice located at 3100 Tongass Ave , Ketchikan AK 99901-5746. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Dove, Myra C can be contacted via phone (907) 228-7688.

Contact Information

Primary practice address
3100 Tongass Ave Ketchikan AK 99901-5746
Phone: (907) 228-7688
Fax: (907) 228-8468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9700825 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD24630 Maine
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 183932 Alaska

Profile Details

NPI number 1124025655
LBN Legal business name Dove, Myra C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 6th, 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 1124025655 NPPES
North Carolina MEDICAID 8910699
North Carolina MEDICAID 006210759

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