Search › Alaska › 171M00000X
Paul Jacks, BA
NPI 1134334758 · on the registry since 2007
Practice
- Address
- 8330 Arlene St
Anchorage, AK 99502 - Phone
- (907) 830-1455
- Fax
- (907) 258-0444
- Organisation at this address
- Life Enrichment Services Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 2340 Sentry Dr Apt 805, Anchorage, AK
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska