Smith, Jack Arlyn
Smith, Jack Arlyn is an individual health care provider with primary practice located at 4001 Dale St #201, Anchorage AK 99508-5428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Smith, Jack Arlyn can be contacted via phone (907) 561-1185.Contact Information
Primary practice address
4001 Dale St #201
Anchorage AK 99508-5428
Phone: (907) 561-1185
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 0959 | Alaska |
Profile Details
| NPI number | 1194797662 |
|---|---|
| LBN Legal business name | Smith, Jack Arlyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194797662 | NPPES |
| Alaska | MEDICAID | MD0959 |
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