Provider Demographics
NPI:1891024337
Name:DEMPSEY, JO (L AC)
Entity Type:Individual
Prefix:
First Name:JO
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:GAKONA
Mailing Address - State:AK
Mailing Address - Zip Code:99586-0121
Mailing Address - Country:US
Mailing Address - Phone:907-440-7620
Mailing Address - Fax:
Practice Address - Street 1:MILE 126.5 RICHARDSON HWY
Practice Address - Street 2:
Practice Address - City:GAKONA
Practice Address - State:AK
Practice Address - Zip Code:99586
Practice Address - Country:US
Practice Address - Phone:907-440-7620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK124171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist