Keith, Misty Rose

Keith, Misty Rose is an sole proprietor health care provider with primary practice located at 110 2Nd Ave , Fairbanks AK 99701-4809. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Keith, Misty Rose can be contacted via phone (907) 452-7946.

Contact Information

Primary practice address
110 2Nd Ave Fairbanks AK 99701-4809
Phone: (907) 452-7946
Fax: (907) 452-7942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1114290350
LBN Legal business name Keith, Misty Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2012
Last updated Feb 20th, 2012 - about 14 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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