Acoman, Veronica D.
Acoman, Veronica D. is an individual health care provider with primary practice located at 3100 S Cushman St , Fairbanks AK 99701-7516. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Acoman, Veronica D. can be contacted via phone (907) 452-6251.Contact Information
Primary practice address
3100 S Cushman St
Fairbanks AK 99701-7516
Phone: (907) 452-6251
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | 11-1119-III | Alaska |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1356618086 |
---|---|
LBN Legal business name | Acoman, Veronica D. |
Credentials | PEER SUPPORT SPECIAL |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 23rd, 2011 |
Last updated | Nov 7th, 2022 - about 2 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 | 1356618086 | NPPES |
Alaska | Other | CHA III | 11-1119-III |
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