Provider Demographics
NPI:1366793515
Name:CPAP ALASKA, LLC
Entity type:Organization
Organization Name:CPAP ALASKA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KREHLIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-789-6769
Mailing Address - Street 1:PO BOX 34697
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99803-4697
Mailing Address - Country:US
Mailing Address - Phone:907-789-6769
Mailing Address - Fax:
Practice Address - Street 1:9309 GLACIER HWY
Practice Address - Street 2:SUITE B301
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-9306
Practice Address - Country:US
Practice Address - Phone:907-743-8987
Practice Address - Fax:907-743-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK978702332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies