National Provider Identifier Database

ANCHORAGE SLEEP CENTER LLC DBA KODIAK SLEEP CENTER
Sleep Disorder Diagnostic


Contact Information

ANCHORAGE SLEEP CENTER, LLC DBA KODIAK SLEEP CENTER
104 CENTER AVE
SUITE 102
KODIAK, AK99615-6393
Phone: 907-512-2060
Fax: 907-512-2070
Website:
Specialty Taxonomy Code
* Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for ANCHORAGE SLEEP CENTER, LLC DBA KODIAK SLEEP CENTER

NPI Number 1154739878
Legal business name
LBN
ANCHORAGE SLEEP CENTER, LLC DBA KODIAK SLEEP CENTER
Authorized official CAMERON GARDNER - (MANAGING MEMBER)
Entity Organization
Organization subpart Yes
Enumeration date 07/25/2014
Last updated 07/25/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 1008468

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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