Aga, Robert Daniel

Aga, Robert Daniel is an individual health care provider with primary practice located at 325 Carolyn St , Kodiak AK 99615. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Aga, Robert Daniel can be contacted via phone (907) 486-9870.

Contact Information

Primary practice address
325 Carolyn St Kodiak AK 99615
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Alaska

Profile Details

NPI number 1982472387
LBN Legal business name Aga, Robert Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2023
Last updated Dec 14th, 2023 - about last year

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 1982472387 NPPES
Alaska MEDICAID 0600297396

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