Elliott, Juanita Serena
Elliott, Juanita Serena is an sole proprietor health care provider with primary practice located at 4034 Reka L5 , Anchorage AK 99508. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Elliott, Juanita Serena can be contacted via phone (907) 569-5033.Contact Information
Primary practice address
4034 Reka L5
Anchorage AK 99508
Phone: (907) 569-5033
Fax: (907) 569-5033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 278361 | Alaska |
Profile Details
| NPI number | 1922130376 |
|---|---|
| LBN Legal business name | Elliott, Juanita Serena |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1922130376 | NPPES |
| Alaska | MEDICAID | CM5272 |
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