Korsgren, Theodore Yngve

Korsgren, Theodore Yngve is an sole proprietor health care provider with primary practice located at 1717 W. Cowles St. , Fairbanks AK 99701-5903. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Korsgren, Theodore Yngve can be contacted via phone (907) 451-6682.

Contact Information

Primary practice address
1717 W. Cowles St. Fairbanks AK 99701-5903
Phone: (907) 451-6682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 5364 Alaska

Profile Details

NPI number 1497942585
LBN Legal business name Korsgren, Theodore Yngve
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2007
Last updated Dec 3rd, 2012 - 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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