Mullins, Anita

Mullins, Anita is an sole proprietor health care provider with primary practice located at 201 Old Steese Hwy Ste 2 , Fairbanks AK 99701-3160. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mullins, Anita can be contacted via phone (907) 456-4822.

Contact Information

Primary practice address
201 Old Steese Hwy Ste 2 Fairbanks AK 99701-3160
Fax: (907) 456-4830
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 216 Alaska

Profile Details

NPI number 1114935616
LBN Legal business name Mullins, Anita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1114935616 NPPES
Alaska MEDICAID OD9415

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