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CHARLES G. PERKINS
>> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1114232592
Organizational Registrant:Organization Name: CHARLES G. PERKINS
Organization is not Subpart
Authorized Official: CHARLES G PERKINS OWNER 907--26-26557
Organization is not Subpart
Authorized Official: CHARLES G PERKINS OWNER 907--26-26557
Location and contact information for practice:
167 WAREHOUSE AVE SUITE C SOLDOTNA, AK 99669 US
Tel: 907-262-6557 Fax: 907-262-6559
Tel: 907-262-6557 Fax: 907-262-6559
Contact information for business:
167 WAREHOUSE AVE SUITE C SOLDOTNA, AK 99669 US
Tel: 907-262-6557 Fax: 907-262-6559
Tel: 907-262-6557 Fax: 907-262-6559
Registration Information:
NPI: 1114232592
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261Q00000X | Ambulatory Health Care Facilities Clinic/Center | AK | 2407 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| M2407 | AK | 05 |
