Achas, Benito Artillero
Achas, Benito Artillero is an individual health care provider with primary practice located at 717 E Rezanof Dr , Kodiak AK 99615-6416. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Achas, Benito Artillero can be contacted via phone (907) 481-2400.Contact Information
Primary practice address
717 E Rezanof Dr
Kodiak AK 99615-6416
Phone: (907) 481-2400
Fax: (907) 481-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2266 | Alaska |
Profile Details
| NPI number | 1295167179 |
|---|---|
| LBN Legal business name | Achas, Benito Artillero |
| Credentials | CDC1 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2013 |
| Last updated | Aug 2nd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295167179 | NPPES |
| Alaska | MEDICAID | MH2237 |
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