Horazdovsky, Pamela S

Horazdovsky, Pamela S is an sole proprietor health care provider with primary practice located at 60788 Bear Creek Dr , Homer AK 99603-9461. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Respite Care Facility / Respite Care, Other Service Providers / Driver. Agencies / Case Management is her primary health care specialty. Horazdovsky, Pamela S can be contacted via phone (907) 299-0352.

Contact Information

Primary practice address
60788 Bear Creek Dr Homer AK 99603-9461
Phone: (907) 299-0352
Fax: (907) 235-4093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 312106 Alaska
Agencies / Case Management 251B00000X 312106 Alaska
Respite Care Facility / Respite Care 385H00000X 312106 Alaska
Other Service Providers / Driver 172A00000X 312106 Alaska

Profile Details

NPI number 1750415881
LBN Legal business name Horazdovsky, Pamela S
Credentials BSW, MAG
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jun 10th, 2008 - about 16 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 1750415881 NPPES
Alaska MEDICAID CMG641
Alaska MEDICAID HC1641
Alaska Other 312106
Alaska MEDICAID CM79951

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