Ebelacker, Cynthia Allen
Ebelacker, Cynthia Allen is an sole proprietor health care provider with primary practice located at 1407 W 31St Ave Suite 201, Anchorage AK 99503-3678. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ebelacker, Cynthia Allen can be contacted via phone (907) 646-9948.Contact Information
Primary practice address
1407 W 31St Ave Suite 201
Anchorage AK 99503-3678
Phone: (907) 646-9948
Fax: (907) 646-9949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 123065 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 435 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 435 | Alaska |
Profile Details
| NPI number | 1871697342 |
|---|---|
| LBN Legal business name | Ebelacker, Cynthia Allen |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jul 22nd, 2009 - 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 | 1871697342 | NPPES |
| Alaska | MEDICAID | NP04351 | |
| Alaska | MEDICAID | NP04357 |
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