Provider Demographics
NPI:1558501627
Name:ACCESSIBLE EXTRACTION SERVICES, INCORP.
Entity Type:Organization
Organization Name:ACCESSIBLE EXTRACTION SERVICES, INCORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUNKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-772-8000
Mailing Address - Street 1:20399 ROUTE 19
Mailing Address - Street 2:ONE LANDMARK NORTH, SUITE 203
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6134
Mailing Address - Country:US
Mailing Address - Phone:724-772-8000
Mailing Address - Fax:724-772-8040
Practice Address - Street 1:20399 ROUTE 19
Practice Address - Street 2:ONE LANDMARK NORTH, SUITE 203
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6134
Practice Address - Country:US
Practice Address - Phone:724-772-8000
Practice Address - Fax:724-772-8040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037043E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E12897Medicare UPIN