Dock, Paul
Dock, Paul is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy Suite 150, Bethel AK 99559-0528. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Dock, Paul can be contacted via phone (907) 543-6100.Contact Information
Primary practice address
829 Chief Eddie Hoffman Hwy Suite 150
Bethel AK 99559-0528
Phone: (907) 543-6100
Fax: (907) 543-6159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1245423029 |
|---|---|
| LBN Legal business name | Dock, Paul |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2007 |
| Last updated | May 19th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245423029 | NPPES |
| Alaska | MEDICAID | 1020986 |
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