MEDICARE: MITCHEL PAUL LEPSCHAT CNIM

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
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1437400132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITCHEL PAUL LEPSCHAT CNIM

Provider Business Mailing Address
First Line	:	7441 TIMBERWOLF CIR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-4812
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7441 TIMBERWOLF CIR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-4812
Country	:	US
Telephone Number	:	503-550-2982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2012
Last Update Date	:	09/21/2012

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