| Name: | ENPROVIDER NETWORK OF ALASKA |
| Jurisdiction: | Alaska |
| Legal type: | Business Name Registration |
| Status: | Active Name |
| Date of registration: | 22 May 2024 (8 months ago) |
| Expiration date: | 31 Dec 2028 |
| Entity Number: | 10273609 |
| ZIP code: | 99801 |
| County: | Juneau |
| Place of Formation: | ALASKA |
| Address: | 8585 OLD DAIRY RD STE 208, JUNEAU, AK 99801 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| KENNETH RUDD | Owner |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2198572 | Active | 2024-05-01 | - | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
Date of last update: 10 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
