Provider Demographics
NPI:1497826051
Name:FINEMAN, ALVIN J (MD)
Entity Type:Individual
Prefix:
First Name:ALVIN
Middle Name:J
Last Name:FINEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-7808
Mailing Address - Country:US
Mailing Address - Phone:907-390-7178
Mailing Address - Fax:907-796-8497
Practice Address - Street 1:3240 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7808
Practice Address - Country:US
Practice Address - Phone:907-796-8498
Practice Address - Fax:907-796-8497
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK74852084P0800X
ME0181102084P0800X
CODR.00498942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME104540000Medicaid
MEME234301Medicare PIN