Leisholmn, Alonzo Craig

Leisholmn, Alonzo Craig is an individual health care provider with primary practice located at 563 Brendible St , Metlakatla AK 99926-0439. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Leisholmn, Alonzo Craig can be contacted via phone (907) 886-4741.

Contact Information

Primary practice address
563 Brendible St Metlakatla AK 99926-0439
Phone: (907) 886-4741
Fax: (907) 886-5831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 12-1169-IV Alaska

Profile Details

NPI number 1225303878
LBN Legal business name Leisholmn, Alonzo Craig
Credentials CHA-IV
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2012
Last updated Aug 22nd, 2022 - about 2 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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