Dundas, Reba Olivia Rose

Dundas, Reba Olivia Rose is an individual health care provider with primary practice located at 222 Tongass Dr , Sitka AK 99835-9416. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Dundas, Reba Olivia Rose can be contacted via phone (907) 966-8343.

Contact Information

Primary practice address
222 Tongass Dr Sitka AK 99835-9416
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1568975373
LBN Legal business name Dundas, Reba Olivia Rose
Credentials PDHA II
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2017
Last updated Nov 15th, 2017 - about 7 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 1568975373 NPPES
Alaska Other 17-143-PDHAII COMMUNITY HEALTH AIDE PROGRAM CERTIFICATION BOARD - FEDERAL CERTIFICATION

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