King, Jesse Tyler-Guill

King, Jesse Tyler-Guill is an individual health care provider with primary practice located at 3406 Alder Ave , Fort Wainwright AK 99703. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. King, Jesse Tyler-Guill can be contacted via phone (907) 353-2917.

Contact Information

Primary practice address
3406 Alder Ave Fort Wainwright AK 99703
Phone: (907) 353-2917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1144977000
LBN Legal business name King, Jesse Tyler-Guill
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2022
Last updated Mar 13th, 2023 - about 2 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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