NPI 1144669466 MR. PHILLIP ANTHONY JORDINELLI CDCII KODIAK AK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Phillip Anthony Jordinelli - NPI: 1144669466

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. PHILLIP ANTHONY JORDINELLI
NPI Number: 1144669466
Entity Type Code: Individual (1)
Gender: M
Credentials: CDCII
License Number: 2279
Business Practice Address: 3449 E Rezanof Dr
Kodiak, AK - 996156952
Business Phone Number: 9074869823
Business Fax Number: 9074869898
Mailing Address: 3449 E Rezanof Dr,
KODIAK
State: AK
Postal Code: 996156952
Phone Number: 9074869800
Fax Number: 9074869898
NPI Enumeration Date: 06/19/2013
NPI Last Update Date: 06/19/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 2279
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AK
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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