Susan J Tate
Emergency Medical Services
4076 Neely Road
Fort Wainwright
, Alaska 99703
Susan J Tate
Emergency Medical Services
4076 Neely Road
Fort Wainwright
, Alaska 99703
(866) 321-8433
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Susan J Tate
- Po Box 80848
- Fairbanks, AK
- Zip : 99708-0848
- Phone : (866) 321-8433
Second Address
- Susan J Tate
- 4076 Neely Road
- Fort Wainwright, AK
- Zip : 99703
- Phone : (907) 361-5479
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 4295 | AK |
National Provider Identifier
| NPI | 1184611519 |
|---|---|
| Provider Name | Susan J Tate |
| First Address | Fairbanks, AK 99708-0848 |
| Second Address | Fort Wainwright, AK 99703 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 01/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G99088 | (02) | |
| MD0991 | (05) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.