Mack, Marilyn Yvonne
Mack, Marilyn Yvonne is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy , Bethel AK 99559. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mack, Marilyn Yvonne can be contacted via phone (907) 543-6800.Contact Information
Primary practice address
829 Chief Eddie Hoffman Hwy
Bethel AK 99559
Phone: (907) 543-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1790967776 |
|---|---|
| LBN Legal business name | Mack, Marilyn Yvonne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Nov 30th, 2007 - about 17 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 | 1790967776 | NPPES |
| Alaska | MEDICAID | MH0150 |
Popular Providers
-
Gantt-Banks, Valencia Latarah
829 Chief Eddie Hoffman Hwy , Bethel AK 99559 -
Alexander, Brian
700 Chief Eddie Hoffman Highway , Bethel AK 99559 -
Thompson, Julie M
1410 Calista Drive , Bethel AK 99559 -
Pavila, Patrick
829 Chief Eddy Hoffman Hwy , Bethel AK 99559 -
Bell, Greg
829 Chief Eddie Hoffman Hwy Suite 150, Bethel AK 99559 -
Brand, Jody Lyn
1410 Calista Drive , Bethel AK 99559-0528 -
Snell, Linda Holden
829 Chief Eddie Hoffman Hwy , Bethel AK 99559 -
Smash, James
5001 Noel Polty , Bethel AK 99559