Individual ProviderTimothy Edward VolstadBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874(907) 729-5020PECOS EnrollmentBased on the most recent information from CMS, provider Timothy Edward Volstad does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1649835513Provider TypeIndividualFull NameVolstad, Timothy EdwardGenderMaleSole ProprietorYesEnumeration Date5/7/2019Last Updated5/7/2019Contact InformationPractice LocationPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874Phone(907) 729-5020FaxUnlisted FaxMailing LocationMailing Address4000 San Ernesto Ave, Anchorage, AK 99508-2874Phone(907) 729-5020FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer