Cadzow, Corrina Lynn

Cadzow, Corrina Lynn is an individual health care provider with primary practice located at East 7Th Ave , Fort Yukon AK 99740. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Dental Providers / Dental Assistant. Dental Providers / Dental Assistant is her primary health care specialty. Cadzow, Corrina Lynn can be contacted via phone (907) 662-2460.

Contact Information

Primary practice address
East 7Th Ave Fort Yukon AK 99740
Phone: (907) 662-2460
Fax: (907) 662-2709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 11-070-DHAT Alaska
Dental Providers / Dental Assistant 126800000X 11-070-DHAT Alaska

Profile Details

NPI number 1962779405
LBN Legal business name Cadzow, Corrina Lynn
Credentials 11-070-DHAT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2011
Last updated Mar 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962779405 NPPES
Alaska MEDICAID 11-070-DHAT

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