1346320280 NPI number — DR. CATHLEEN COMPTON VON HIPPEL

Table of content: DR. CATHLEEN COMPTON VON HIPPEL (NPI 1346320280)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346320280 NPI number — DR. CATHLEEN COMPTON VON HIPPEL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VON HIPPEL
Provider First Name:
CATHLEEN
Provider Middle Name:
COMPTON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346320280
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3705 ARCTIC BLVD # 1058
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99503-5774
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-885-6288
Provider Business Mailing Address Fax Number:
907-290-8525

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2600 DENALI
Provider Second Line Business Practice Location Address:
SUITE 302
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99503-2740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-272-4407
Provider Business Practice Location Address Fax Number:
907-272-4463
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  AA482 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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