Mr Theodore Yngve Korsgren Iii, LPN - Licensed Practical Nurse in Fairbanks, AK

Mr Theodore Yngve Korsgren Iii, LPN is a Licensed Practical Nurse based in Fairbanks, Alaska. Mr Theodore Yngve Korsgren Iii is licensed to practice in Alaska (license number 5364) and his current practice location is 1717 W. Cowles St., Fairbanks, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 451-6682.

NPI number for Mr Theodore Yngve Korsgren Iii is 1497942585 and his current mailing address is 1717 W. Cowles St., Fairbanks, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497942585.

Contact Information

Mr Theodore Yngve Korsgren Iii, LPN
1717 W. Cowles St.,
Fairbanks, AK 99701-5903
(907) 451-6682
Not Available



Provider's Profile

Full NameMr Theodore Yngve Korsgren Iii
GenderMale
SpecialityLicensed Practical Nurse
Location1717 W. Cowles St., Fairbanks, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497942585
  • Provider Enumeration Date: 10/02/2007
  • Last Update Date: 12/03/2012

Medical Identifiers

Medical identifiers for Mr Theodore Yngve Korsgren Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497942585NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 5364 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Theodore Yngve Korsgren Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Theodore Yngve Korsgren Iii, LPN
1717 W. Cowles St.,
Fairbanks, AK 99701-5903

Ph: (907) 451-6682
Mr Theodore Yngve Korsgren Iii, LPN
1717 W. Cowles St.,
Fairbanks, AK 99701-5903

Ph: (907) 451-6682

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› Verified 7 days ago


Licensed Practical Nurse Nurses in Fairbanks, AK

Ms. Elizabeth Marie Doddridge, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1015 Smallwood Trl, Fairbanks, AK 99712
Phone: 907-490-0330    
Eun Jung Moore, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3350 Thomas St, Spc 100, Fairbanks, AK 99709
Phone: 907-457-3110    
Rosalyn Coward,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1717 W Cowles St, Fairbanks, AK 99701
Phone: 907-451-6682    
Sharon Elemento Egana-cabolis, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 650 Younker Ct, Fairbanks, AK 99701
Phone: 907-456-1053    
Rosa Ballard, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3830 S Cushman St, Fairbanks, AK 99701
Phone: 907-452-1575    
Shirley M Collins, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3830 S Cushman St, Fairbanks, AK 99701
Phone: 907-455-5304    Fax: 907-455-1460
Katrina Megan Seavey, RN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1717 W Cowles St, Fairbanks, AK 99701
Phone: 907-451-6682    Fax: 907-459-3976

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