Mavencamp, Michael J

Mavencamp, Michael J is an individual health care provider with primary practice located at 570 Riverstone Way Ste 3, Fairbanks AK 99709. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mavencamp, Michael J can be contacted via phone (907) 479-4700.

Contact Information

Primary practice address
570 Riverstone Way Ste 3 Fairbanks AK 99709
Phone: (907) 479-4700
Fax: (907) 457-5596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X A240 Alaska

Profile Details

NPI number 1760541676
LBN Legal business name Mavencamp, Michael J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Aug 28th, 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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