Kasukonis, Nathan
Kasukonis, Nathan is an individual health care provider with primary practice located at 2211 E Northern Lights Blvd , Anchorage AK 99508-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kasukonis, Nathan can be contacted via phone (907) 279-8486.Contact Information
Primary practice address
2211 E Northern Lights Blvd
Anchorage AK 99508-4129
Phone: (907) 279-8486
Fax: (907) 677-5614
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | AK6583 | Alaska |
Profile Details
NPI number | 1336362409 |
---|---|
LBN Legal business name | Kasukonis, Nathan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | Dec 18th, 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 | 1336362409 | NPPES |
Alaska | Other | 162616 | MEDICAID GROUP NO |
Alaska | MEDICAID | MD2487 | MEDICAID GROUP NO |
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