Abdiu-Lucas, Starretta Lynn

Abdiu-Lucas, Starretta Lynn is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy Suite 150, Bethel AK 99559. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Abdiu-Lucas, Starretta Lynn can be contacted via phone (907) 543-6100.

Contact Information

Primary practice address
829 Chief Eddie Hoffman Hwy Suite 150 Bethel AK 99559
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1619463973
LBN Legal business name Abdiu-Lucas, Starretta Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2018
Last updated Jul 10th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619463973 NPPES
Alaska MEDICAID 1020986

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