Handricks, Michael

Handricks, Michael is an individual health care provider with primary practice located at 3449 E Rezanof Dr , Kodiak AK 99615-6952. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Handricks, Michael can be contacted via phone (907) 486-9824.

Contact Information

Primary practice address
3449 E Rezanof Dr Kodiak AK 99615-6952
Phone: (907) 486-9824
Fax: (907) 486-3498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X TTS02-09-006P Alaska
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDC 1 3614 Alaska

Profile Details

NPI number 1063634491
LBN Legal business name Handricks, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jan 19th, 2010 - about 14 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 1063634491 NPPES
Alaska MEDICAID DA4442

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