Provider Demographics
NPI:1346788866
Name:AKERS, JOSHUA (AFC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:AKERS
Suffix:
Gender:M
Credentials:AFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 BROGAN RD
Mailing Address - Street 2:
Mailing Address - City:WEBBERVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48892-9226
Mailing Address - Country:US
Mailing Address - Phone:517-899-2947
Mailing Address - Fax:
Practice Address - Street 1:625 BROGAN RD
Practice Address - Street 2:
Practice Address - City:WEBBERVILLE
Practice Address - State:MI
Practice Address - Zip Code:48892-9226
Practice Address - Country:US
Practice Address - Phone:517-899-2947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAF330376276405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes405300000XOther Service ProvidersPrevention Professional