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NPI Code Detail

MEDICARE: MOLLY B CENKER

MEDICARE: MOLLY B CENKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043580442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY B CENKER
Provider Business Mailing Address
First Line : 3258 ADAMS DR
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-5046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1423 PEGER RD
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-5169
Country : US
Telephone Number : 907-456-7010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2012
Last Update Date : 01/03/2012

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Directions to “ MOLLY B CENKER ” Practice Location

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