Corrick, Cheryl Ann

Corrick, Cheryl Ann is an individual health care provider with primary practice located at 728 Gaffney Rd Suite 100, Fairbanks AK 99701-4610. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Corrick, Cheryl Ann can be contacted via phone (907) 456-3719.

Contact Information

Primary practice address
728 Gaffney Rd Suite 100 Fairbanks AK 99701-4610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X AA21 Alaska

Profile Details

NPI number 1639200611
LBN Legal business name Corrick, Cheryl Ann
Credentials CDM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 9th, 2007 - about 18 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 1639200611 NPPES
Alaska Other AA21 STATE LICENSE NUMBER
Alaska MEDICAID NM0021 STATE LICENSE NUMBER

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