Mamikunian, Creed K
Mamikunian, Creed K is an sole proprietor health care provider with primary practice located at 2401 E 42Nd Ave Suite 206, Anchorage AK 99508-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mamikunian, Creed K can be contacted via phone (907) 562-1860.Contact Information
Primary practice address
2401 E 42Nd Ave Suite 206
Anchorage AK 99508-5205
Phone: (907) 562-1860
Fax: (907) 562-1865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | AA2517 | Alaska |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | A48276 | California |
Profile Details
| NPI number | 1639102254 |
|---|---|
| LBN Legal business name | Mamikunian, Creed K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639102254 | NPPES |
| Alaska | MEDICAID | MD2517 |
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