Bergamaschi, Shanelle Cree

Bergamaschi, Shanelle Cree is an sole proprietor health care provider with primary practice located at 1 Scow John Road , White Mountain AK 99784-0029. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Bergamaschi, Shanelle Cree can be contacted via phone (907) 638-3311.

Contact Information

Primary practice address
1 Scow John Road White Mountain AK 99784-0029
Fax: (907) 638-2007
Website:

Health care specialties

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

Profile Details

NPI number 1700515707
LBN Legal business name Bergamaschi, Shanelle Cree
Credentials CHA-T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2022
Last updated Jun 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700515707 NPPES
Other CHA-T CHA-T

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