Hetherington, Bernice
Hetherington, Bernice is an individual health care provider with primary practice located at 122 1St Ave Ste 400 , Fairbanks AK 99701-4871. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Hetherington, Bernice can be contacted via phone (907) 459-3800.Contact Information
Primary practice address
122 1St Ave Ste 400
Fairbanks AK 99701-4871
Phone: (907) 459-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1851522890 |
|---|---|
| LBN Legal business name | Hetherington, Bernice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Dec 2nd, 2022 - about 3 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 | 1851522890 | NPPES |
| Alaska | MEDICAID | 1020986 |
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