Lake, Sharon Ann
Lake, Sharon Ann is an individual health care provider with primary practice located at 2509 Eide St. , Anchorage AK 99503. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lake, Sharon Ann can be contacted via phone (907) 244-8872.Contact Information
Primary practice address
2509 Eide St.
Anchorage AK 99503
Phone: (907) 244-8872
Fax: (907) 563-3217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 614 | Alaska |
Profile Details
| NPI number | 1326193079 |
|---|---|
| LBN Legal business name | Lake, Sharon Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | May 16th, 2012 - about 12 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 | 1326193079 | NPPES |
| Alaska | MEDICAID | PENDING |
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