Lofton, Tony

Lofton, Tony is an individual health care provider with primary practice located at 1825 Marika Rd , Fairbanks AK 99709. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Lofton, Tony can be contacted via phone (907) 474-0890.

Contact Information

Primary practice address
1825 Marika Rd Fairbanks AK 99709
Phone: (907) 474-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Alaska

Profile Details

NPI number 1336410539
LBN Legal business name Lofton, Tony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2012
Last updated Jan 19th, 2012 - about 13 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 1336410539 NPPES
Alaska MEDICAID MH3237

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