1194815126 NPI number — RUTH SINGLETON ALVAREZ PA-C

Table of content: RUTH SINGLETON ALVAREZ PA-C (NPI 1194815126)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194815126 NPI number — RUTH SINGLETON ALVAREZ PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALVAREZ
Provider First Name:
RUTH
Provider Middle Name:
SINGLETON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194815126
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4201 TUDOR CENTRE DR
Provider Second Line Business Mailing Address:
SUITE #320
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99508-5904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-729-8624
Provider Business Mailing Address Fax Number:
907-729-8607

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 AIRPORT RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ILIAMNA
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99606-9800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-729-8624
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  342 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1020253 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




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