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NPI Code Detail

MEDICARE: JAMES L CHRISTMAS III BA

MEDICARE: JAMES L CHRISTMAS III BA
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
1104100000XSocial Worker

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 : 1437380391
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES L CHRISTMAS III BA
Provider Business Mailing Address
First Line : 3600 SAN JERONIMO DR # 210
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-2870
Country : US
Telephone Number : 907-793-3200
Fax Number : 907-793-3250
Provider Business Practice Location Address
First Line : 3600 SAN JERONIMO DR STE 210
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-2870
Country : US
Telephone Number : 907-793-3200
Fax Number : 907-793-3250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2009
Last Update Date : 05/07/2019

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Directions to “ JAMES L CHRISTMAS III BA” Practice Location

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