Isom, Michael H

Isom, Michael H is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy , Bethel AK 99559-0528. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Isom, Michael H can be contacted via phone (907) 543-6100.

Contact Information

Primary practice address
829 Chief Eddie Hoffman Hwy Bethel AK 99559-0528
Phone: (907) 543-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 628 Alaska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60113447 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X 624-2-1-09 North Dakota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LASAC-13106 Arizona

Profile Details

NPI number 1457582512
LBN Legal business name Isom, Michael H
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2009
Last updated Apr 9th, 2010 - 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 1457582512 NPPES
Alaska MEDICAID DA4442

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