Greywolf, Tobin James

Greywolf, Tobin James is an individual health care provider with primary practice located at 130 S Willow St Ste 9 , Kenai AK 99611-9107. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Greywolf, Tobin James can be contacted via phone (907) 782-8377.

Contact Information

Primary practice address
130 S Willow St Ste 9 Kenai AK 99611-9107
Phone: (907) 782-8377
Fax: (907) 283-0084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 1712359 Alaska

Profile Details

NPI number 1013782663
LBN Legal business name Greywolf, Tobin James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2023
Last updated Nov 22nd, 2023 - about last year

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 1013782663 NPPES
Alaska MEDICAID 1712359

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