Suoja, Eric S

Suoja, Eric S is an individual health care provider with primary practice located at 4100 Lake Otis Pkwy Ste. 100, Anchorage AK 99508-5222. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Suoja, Eric S can be contacted via phone (907) 563-4006.

Contact Information

Primary practice address
4100 Lake Otis Pkwy Ste. 100 Anchorage AK 99508-5222
Phone: (907) 563-4006
Fax: (907) 646-2575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 589 Alaska

Profile Details

NPI number 1366403404
LBN Legal business name Suoja, Eric S
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 7th, 2023 - about 3 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 1366403404 NPPES
Alaska Other 589 LICENSE

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