Victorino, Jonathan T

Victorino, Jonathan T is an individual health care provider with primary practice located at 1867 Airport Way Ste 140C , Fairbanks AK 99701-4055. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Victorino, Jonathan T can be contacted via phone (907) 455-7770.

Contact Information

Primary practice address
1867 Airport Way Ste 140C Fairbanks AK 99701-4055
Phone: (907) 455-7770
Fax: (907) 451-7770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 389 Alaska

Profile Details

NPI number 1225045479
LBN Legal business name Victorino, Jonathan T
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 7th, 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 1225045479 NPPES
Alaska MEDICAID CH5926

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