Michaelson, Colette M
Michaelson, Colette M is an sole proprietor health care provider with primary practice located at 9200 N Sun Valley Dr , Palmer AK 99645-9254. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Michaelson, Colette M can be contacted via phone (907) 745-4295.Contact Information
Primary practice address
9200 N Sun Valley Dr
Palmer AK 99645-9254
Phone: (907) 745-4295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Alaska | |
| Other Service Providers / Contractor | 171W00000X | Alaska |
Profile Details
| NPI number | 1518169374 |
|---|---|
| LBN Legal business name | Michaelson, Colette M |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1518169374 | NPPES |
| Alaska | MEDICAID | CM6430 | |
| Alaska | MEDICAID | CMG |
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