Nenneman, Katheryn
Nenneman, Katheryn is an individual health care provider with primary practice located at 5016 Noel Polty Blvd , Bethel AK 99559-1029. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Nenneman, Katheryn can be contacted via phone (907) 543-6800.Contact Information
Primary practice address
5016 Noel Polty Blvd
Bethel AK 99559-1029
Phone: (907) 543-6800
Fax: (907) 543-7101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1225317548 |
|---|---|
| LBN Legal business name | Nenneman, Katheryn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2011 |
| Last updated | Apr 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225317548 | NPPES |
| Alaska | MEDICAID | 1006017 | |
| Alaska | MEDICAID | 1020986 | |
| Alaska | MEDICAID | 1584987 |
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