Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FX1800X | Optician | 2147 | FL |
Y | 156FX1800X | Optician | 328 | AK |
NPI | 1083036909 |
---|---|
Provider Name | Mr. William Michael Abrams |
First Address | Anchorage, AK 99507-1036 |
Second Address | Anchorage, AK 99507-1035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2014 |
Last Update Date | 12/01/2014 |