| Name: | Denali Primary Care, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 12 Jun 2023 (2 years ago) |
| Entity Number: | 10235981 |
| ZIP code: | 99701 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 775 FRIARS WAY, FAIRBANKS, AK 99709 |
| Address: | 1919 LATHROP ST #204, FAIRBANKS, AK 99701 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Essam Shihadeh | Member |
| Essam Shihadeh | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2182102 | Business License | Active | 2023-06-16 | 2024-10-07 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 222520 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2024-04-10 | 2024-04-10 | - |
Date of last update: 27 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
