'Worrell, Paul M

'Worrell, Paul M is an sole proprietor health care provider with primary practice located at 3650 Lake Otis Pkwy Ste 202 , Anchorage AK 99508-5219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. 'Worrell, Paul M can be contacted via phone (907) 561-4402.

Contact Information

Primary practice address
3650 Lake Otis Pkwy Ste 202 Anchorage AK 99508-5219
Phone: (907) 561-4402
Fax: (907) 561-2594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0908 Alaska

Profile Details

NPI number 1275565525
LBN Legal business name 'Worrell, Paul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275565525 NPPES
Alaska MEDICAID MD0908

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