Corneliussen, Adam R.

Corneliussen, Adam R. is an individual health care provider with primary practice located at 3801 Lake Otis Pkwy Suite 300, Anchorage AK 99508-5234. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Corneliussen, Adam R. can be contacted via phone (907) 562-2277.

Contact Information

Primary practice address
3801 Lake Otis Pkwy Suite 300 Anchorage AK 99508-5234
Phone: (907) 562-2277
Fax: (907) 563-3460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 104245 Alaska

Profile Details

NPI number 1821490301
LBN Legal business name Corneliussen, Adam R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2014
Last updated Aug 16th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821490301 NPPES
Alaska MEDICAID 1636106

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