Matthias-Okitkun, Stacey

Matthias-Okitkun, Stacey is an individual health care provider with primary practice located at 50 Airport Road , Stebbins AK 99671. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Matthias-Okitkun, Stacey can be contacted via phone (907) 934-3311.

Contact Information

Primary practice address
50 Airport Road Stebbins AK 99671
Phone: (907) 934-3311
Fax: (907) 934-3312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 05-742-III Alaska

Profile Details

NPI number 1285991323
LBN Legal business name Matthias-Okitkun, Stacey
Credentials CHA III
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Apr 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285991323 NPPES
Alaska Other 05-742-III CHA III

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