Straube, John L
Straube, John L is an sole proprietor health care provider with primary practice located at 2906 Boniface Pkwy 2906 Boniface Pkwy, Anchorage AK 99504-3132. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Straube, John L can be contacted via phone (907) 337-6453.Contact Information
Primary practice address
2906 Boniface Pkwy 2906 Boniface Pkwy
Anchorage AK 99504-3132
Phone: (907) 337-6453
Fax: (907) 338-6654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 481 | Alaska |
Profile Details
| NPI number | 1417096579 |
|---|---|
| LBN Legal business name | Straube, John L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 9th, 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 | 1417096579 | NPPES |
| Alaska | MEDICAID | DDO481 |
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