MEDICARE: MR. JOHN VINCENT AKIKI DC

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	111N00000X	Chiropractor	X007708	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000224088001	OTHER	NY	BLUE CROSS BLUE SH
2	16146596001	OTHER	NY	PRISM
3	8809362	OTHER	NY	INDEPENDENT HEALTH

General Provider Information

NPI Number	:	1760404750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN VINCENT AKIKI DC

Provider Business Mailing Address
First Line	:	10440 MAIN ST
Second Line	:
City	:	CLARENCE
State	:	NY
Zip	:	14031-1627
Country	:	US
Telephone Number	:	716-759-1478
Fax Number	:

Provider Business Practice Location Address
First Line	:	10440 MAIN ST
Second Line	:
City	:	CLARENCE
State	:	NY
Zip	:	14031-1627
Country	:	US
Telephone Number	:	716-759-1478
Fax Number	:

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	12/25/2022

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