Malone, Natosha

Malone, Natosha is an individual health care provider with primary practice located at 1825 Marika Rd , Fairbanks AK 99709-5521. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Malone, Natosha can be contacted via phone (907) 474-0890.

Contact Information

Primary practice address
1825 Marika Rd Fairbanks AK 99709-5521
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 101YS0200X Alaska

Profile Details

NPI number 1932526605
LBN Legal business name Malone, Natosha
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2014
Last updated Mar 19th, 2014 - about 10 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 1932526605 NPPES
Alaska MEDICAID MH3237

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