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Contact Information

TANYA M LEINICKE, MD
3200 PROVIDENCE DR
ANCHORAGE, AK99508-4615
 Phone: 907-565-8005
 Fax: 907-565-8066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TANYA M LEINICKE · (Female)

NPI Number 1104858927
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 5354
  • AK Medicaid MD8572
Hospital affiliation(s)
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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