Agwiak, Tara L

Agwiak, Tara L is an individual health care provider with primary practice located at 101 Old Airport Road , Mtn. Village AK 99632. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Agwiak, Tara L can be contacted via phone (907) 591-2926.

Contact Information

Primary practice address
101 Old Airport Road Mtn. Village AK 99632
Phone: (907) 591-2926
Fax: (907) 591-2576
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1902437064
LBN Legal business name Agwiak, Tara L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2020
Last updated Jan 28th, 2020 - about 5 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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