Mayeda, Jonathan Albert

Mayeda, Jonathan Albert is an individual health care provider with primary practice located at 839 Chief Eddie Hoffman Hwy , Bethel AK 99559. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Mayeda, Jonathan Albert can be contacted via phone (907) 543-2740.

Contact Information

Primary practice address
839 Chief Eddie Hoffman Hwy Bethel AK 99559
Phone: (907) 543-2740
Fax: (907) 543-6729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1265910954
LBN Legal business name Mayeda, Jonathan Albert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2018
Last updated Aug 3rd, 2018 - about 6 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 1265910954 NPPES
Alaska MEDICAID 1020986

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