Olanna, Keisha G
Olanna, Keisha G is an sole proprietor health care provider with primary practice located at 62039 Daqumaaq Road , Golovin AK 99762-2039. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Olanna, Keisha G can be contacted via phone (907) 779-3311.Contact Information
Primary practice address
62039 Daqumaaq Road
Golovin AK 99762-2039
Phone: (907) 779-3311
Fax: (907) 779-3312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Alaska |
Profile Details
| NPI number | 1831731512 |
|---|---|
| LBN Legal business name | Olanna, Keisha G |
| Credentials | CHA-T |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2019 |
| Last updated | Oct 14th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831731512 | NPPES |
| Alaska | Other | CHA-T | CHA-T |
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