Heritscko, Maria Arcilia

Heritscko, Maria Arcilia is an individual health care provider with primary practice located at 5636 Glacier Hwy Ste 100 , Juneau AK 99801-9508. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Heritscko, Maria Arcilia can be contacted via phone (907) 586-6838.

Contact Information

Primary practice address
5636 Glacier Hwy Ste 100 Juneau AK 99801-9508
Fax: (907) 586-8114
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 5710 Alaska

Profile Details

NPI number 1982842852
LBN Legal business name Heritscko, Maria Arcilia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Jan 29th, 2009 - about 15 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 1982842852 NPPES
Alaska MEDICAID 5710

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