Davison, Rochelle Lanae

Davison, Rochelle Lanae is an sole proprietor health care provider with primary practice located at 1000 Greg Krushek Ave , Nome AK 99762-9976. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Davison, Rochelle Lanae can be contacted via phone (907) 443-3311.

Contact Information

Primary practice address
1000 Greg Krushek Ave Nome AK 99762-9976
Fax: (907) 443-3471
Website:

Health care specialties

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

Profile Details

NPI number 1124795893
LBN Legal business name Davison, Rochelle Lanae
Credentials CHA-T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2021
Last updated Aug 30th, 2021 - about 3 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 1124795893 NPPES
Alaska Other CHA-T CHA-T
Alaska Other 920041488 CHA-T

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