Provider Demographics
NPI:1760404750
Name:AKIKI, JOHN VINCENT (DC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:VINCENT
Last Name:AKIKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-1627
Mailing Address - Country:US
Mailing Address - Phone:716-759-1478
Mailing Address - Fax:
Practice Address - Street 1:10440 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-1627
Practice Address - Country:US
Practice Address - Phone:716-759-1478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2022-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000224088001OtherBLUE CROSS BLUE SH
NY16146596001OtherPRISM
NY8809362OtherINDEPENDENT HEALTH
NY000224088001OtherBLUE CROSS BLUE SH
T98263Medicare UPIN