Nick, Victor

Nick, Victor is an individual health care provider with primary practice located at 1410 Calista Drive , Bethel AK 99559. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Nick, Victor can be contacted via phone (907) 543-6730.

Contact Information

Primary practice address
1410 Calista Drive Bethel AK 99559
Phone: (907) 543-6730
Fax: (907) 543-6712
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1730310954
LBN Legal business name Nick, Victor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Aug 24th, 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 1730310954 NPPES
Alaska MEDICAID 1020986

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