Augdahl, Cody Michael
Augdahl, Cody Michael is an individual health care provider with primary practice located at 3760 Piper St Suite 1060, Anchorage AK 99508-4665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Augdahl, Cody Michael can be contacted via phone (907) 212-6522.Contact Information
Primary practice address
3760 Piper St Suite 1060
Anchorage AK 99508-4665
Phone: (907) 212-6522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6549 | Alaska |
Profile Details
| NPI number | 1801150974 |
|---|---|
| LBN Legal business name | Augdahl, Cody Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2012 |
| Last updated | Feb 6th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801150974 | NPPES |
| Alaska | MEDICAID | MD1622 |
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