Aguchak, Mary Pauline

Aguchak, Mary Pauline is an individual health care provider with primary practice located at 150 Main Rd Scammon Bay Clinic, Scammon Bay AK 99662-0150. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Aguchak, Mary Pauline can be contacted via phone (907) 558-5511.

Contact Information

Primary practice address
150 Main Rd Scammon Bay Clinic Scammon Bay AK 99662-0150
Phone: (907) 558-5511
Fax: (907) 558-5705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1184997108
LBN Legal business name Aguchak, Mary Pauline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2012
Last updated Dec 6th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184997108 NPPES
Alaska MEDICAID 9439

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