Provider Demographics
NPI:1821151192
Name:IBINYOPAKAKA, ALFRED LINDROOS
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:LINDROOS
Last Name:IBINYOPAKAKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 777 BOX 557
Mailing Address - Street 2:
Mailing Address - City:OKINAWA
Mailing Address - State:JAPAN
Mailing Address - Zip Code:96379
Mailing Address - Country:JP
Mailing Address - Phone:08198-979-5114
Mailing Address - Fax:
Practice Address - Street 1:PSC 777 BOX 557
Practice Address - Street 2:
Practice Address - City:OKINAWA
Practice Address - State:JAPAN
Practice Address - Zip Code:96379
Practice Address - Country:JP
Practice Address - Phone:08198-979-5114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman