1508931064 NPI number — JANYNE FAYE AKER D.C.

Table of content: MS. DORICA NEKEDA BROWN (NPI 1487835641)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508931064 NPI number — JANYNE FAYE AKER D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AKER
Provider First Name:
JANYNE
Provider Middle Name:
FAYE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.C.
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:
1508931064
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
825 28TH STREET SOUTH
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
FARGO
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58103-2325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-297-0674
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
825 28TH STREET SOUTH
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58103-2325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-297-0674
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2006

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: 111N00000X , with the licence number:  660 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 37164496 . This is a "WAUSAU BENEFITS" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
  • Identifier: 350056921 . This is a "UHD RAILROAD MEDICARE" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
  • Identifier: 4400052 . This is a "MEDICA" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
  • Identifier: 606552 . This is a "ACN CCMI" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
  • Identifier: 22721 . This is a "BCBS" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com