Provider Demographics
NPI:1043675648
Name:JANICE ONORATO, MD, LLC
Entity Type:Organization
Organization Name:JANICE ONORATO, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONORATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-455-7003
Mailing Address - Street 1:1867 AIRPORT WAY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-4054
Mailing Address - Country:US
Mailing Address - Phone:907-455-7003
Mailing Address - Fax:866-465-7729
Practice Address - Street 1:1867 AIRPORT WAY
Practice Address - Street 2:SUITE 205
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4054
Practice Address - Country:US
Practice Address - Phone:907-455-7003
Practice Address - Fax:866-465-7729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK35672084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty