Dr. Corrine Leistikow
Family Doctor Obstetrician
1001 Noble St
Fairbanks
, Alaska 99701-4922
Dr. Corrine Leistikow
Family Doctor Obstetrician
1001 Noble St
Fairbanks
, Alaska 99701-4922
(907) 459-3588
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About
Features
Specialties
- Family Doctor
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Corrine Leistikow
- 1001 Noble St
- Fairbanks, AK
- Zip : 99701-4922
- Fax : (907) 459-3588
- Phone : (907) 459-3500
Second Address
- Dr. Corrine Leistikow
- 1001 Noble St
- Fairbanks, AK
- Zip : 99701-4922
- Fax : (907) 459-3588
- Phone : (907) 459-3511
Reviews
FAQs
Where did Dr. Corrine Leistikow attend graduate school?
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What type of doctor is Dr. Corrine Leistikow
In what state does Dr. Corrine Leistikow practice in?
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What is Dr. Corrine Leistikow ’s gender?
Is Dr. Corrine Leistikow a sole practitioner?
Is Dr. Corrine Leistikow accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 2487 | AK |
| N | 207VX0000X | Obstetrician | 2487 | AK |
National Provider Identifier
| NPI | 1417922774 |
|---|---|
| Provider Name | Dr. Corrine Leistikow |
| First Address | Fairbanks, AK 99701-4922 |
| Second Address | Fairbanks, AK 99701-4922 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2006 |
| Last Update Date | 31/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1007182 | (05) | AK |
| BL1611525 | DEA NUMBER (01) | |
| E00822 | (02) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.