Koivunen, Jon Anthony

Koivunen, Jon Anthony is an individual health care provider with primary practice located at 351 W Swanson Avenue Suite 4, Wasilla AK 99654-6853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koivunen, Jon Anthony can be contacted via phone (907) 376-5228.

Contact Information

Primary practice address
351 W Swanson Avenue Suite 4 Wasilla AK 99654-6853
Phone: (907) 376-5228
Fax: (907) 376-8126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD1355 Alaska

Profile Details

NPI number 1275609364
LBN Legal business name Koivunen, Jon Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1275609364 NPPES
Alaska MEDICAID MD1355
Alaska Other 043921

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