Provider Demographics
NPI:1437292935
Name:ALASKA EAR NOSE & THROAT, INC
Entity Type:Organization
Organization Name:ALASKA EAR NOSE & THROAT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMBDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-563-3096
Mailing Address - Street 1:3841 PIPER ST STE T311
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4674
Mailing Address - Country:US
Mailing Address - Phone:907-563-3096
Mailing Address - Fax:907-563-3094
Practice Address - Street 1:3841 PIPER STREET
Practice Address - Street 2:STE. T4-348
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-261-3096
Practice Address - Fax:907-261-3094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2607207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKE40842Medicare UPIN
AKK150874Medicare PIN