Gates, Latoya R

Gates, Latoya R is an individual health care provider with primary practice located at 5016 Noel Polty Blvd , Bethel AK 99559-1029. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gates, Latoya R can be contacted via phone (907) 543-6800.

Contact Information

Primary practice address
5016 Noel Polty Blvd Bethel AK 99559-1029
Phone: (907) 543-6800
Fax: (907) 543-7101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW130350 Pennsylvania

Profile Details

NPI number 1972074649
LBN Legal business name Gates, Latoya R
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2018
Last updated Dec 6th, 2018 - 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 1972074649 NPPES
Alaska MEDICAID 1006017
Alaska MEDICAID 1584987
Alaska MEDICAID 1020986

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