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
Fax: (907) 677-5614
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336362409 NPPES
Alaska Other 162616 MEDICAID GROUP NO
Alaska MEDICAID MD2487 MEDICAID GROUP NO

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