Gonnason, Jeffrey Allen
Gonnason, Jeffrey Allen is an sole proprietor health care provider with primary practice located at 2211 E Northern Lights Blvd Ste 202, Anchorage AK 99508-4103. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gonnason, Jeffrey Allen can be contacted via phone (907) 276-2080.Contact Information
Primary practice address
2211 E Northern Lights Blvd Ste 202
Anchorage AK 99508-4103
Phone: (907) 276-2080
Fax: (907) 276-2081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT T 75 | Alaska |
Profile Details
| NPI number | 1578557294 |
|---|---|
| LBN Legal business name | Gonnason, Jeffrey Allen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Aug 27th, 2010 - about 16 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 | 1578557294 | NPPES |
| Alaska | MEDICAID | OP0075 |
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