Odom, Christian E

Odom, Christian E is an individual health care provider with primary practice located at 550 S Alaska St Ste 202 , Palmer AK 99645-6372. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Odom, Christian E can be contacted via phone (907) 746-6019.

Contact Information

Primary practice address
550 S Alaska St Ste 202 Palmer AK 99645-6372
Phone: (907) 746-6019
Fax: (907) 745-7565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1801497912
LBN Legal business name Odom, Christian E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2020
Last updated Nov 10th, 2020 - about 4 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 1801497912 NPPES
Alaska MEDICAID 1811042872

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