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Norbert Mb Mengfon

Behavior Technician

Behavioral Health & Social Service Providers

741 Irwin St Apt 2, Anchorage, AK 99508-1252

PECOS Enrollment

Based on the most recent information from CMS, provider Norbert Mb Mengfon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1720544042
Provider Type
Individual
Full Name
Mengfon, Norbert Mb
Gender
Male

Sole Proprietor
Yes
Enumeration Date
2/11/2019
Last Updated
2/11/2019

Contact Information

Practice Location

741 Irwin St Apt 2, Anchorage, AK 99508-1252

(585) 281-9865

Unlisted Fax

Mailing Location

741 Irwin St Apt 2, Anchorage, AK 99508-1252

(585) 281-9865

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 7753213	Description Other	Issuer ID Alaska

Norbert Mb Mengfon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Geddes, Gregory Paul

Elick, Wiseman

Wilson, Sheriene Estelle

Lishman, Connor Adrian

Lampley, Claudette Jeanne

Washington, Levi

Judge, Christopher Daniel

Monks, Stormee

Abell, Julia

Reando, Alicia Rose