Shira, Karen

Shira, Karen is an individual health care provider with primary practice located at 1919 Lathrop St Suite 103, Fairbanks AK 99701. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Shira, Karen can be contacted via phone (800) 478-4091.

Contact Information

Primary practice address
1919 Lathrop St Suite 103 Fairbanks AK 99701
Phone: (800) 478-4091
Fax: (907) 451-7184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DOP D 44 Alaska

Profile Details

NPI number 1528039336
LBN Legal business name Shira, Karen
Credentials OP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 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 1528039336 NPPES
Alaska Other 0194434 DEPT OF LABOR GROUP
Alaska Other A0330 DEPT OF LABOR GROUP
Alaska MEDICAID OP0593 DEPT OF LABOR GROUP

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