Powell, Jeff

Powell, Jeff is an individual health care provider with primary practice located at 3561 E Tudor Rd Ste 8 , Anchorage AK 99507-1200. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Powell, Jeff can be contacted via phone (907) 770-7747.

Contact Information

Primary practice address
3561 E Tudor Rd Ste 8 Anchorage AK 99507-1200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 195 Alaska

Profile Details

NPI number 1942357785
LBN Legal business name Powell, Jeff
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 9th, 2007 - about 19 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 1942357785 NPPES
Alaska MEDICAID OP1195

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