Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MONTIE DALE FORD, CDC 1
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · FAIRBANKS, AK
Registration Details
- NPI Number
- 1891079976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2011 (14.542162225126 yrs)
- Last Updated
- Oct 6, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
1825 MARIKA RDFAIRBANKS, AK, 997095521Browse AK providers · Browse ZIP 99709
- Phone
- 9074740890
- Fax
- 9074743621
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in FAIRBANKS, AK
| Name | Credential | NPI |
|---|---|---|
| DAVID CHRISTENSEN | — | 1841844933 |
| SHAREE BARTLEY | — | 1205480290 |
| DEBORAH ANN KEKONI | — | 1427602358 |
| JARED MICHAEL ANDERSON | — | 1295389120 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.