Ortega, Desiree
Ortega, Desiree is an sole proprietor health care provider with primary practice located at 3275 Pintail Cir , Wasilla AK 99654-2617. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ortega, Desiree can be contacted via phone (907) 357-8028.Contact Information
Primary practice address
3275 Pintail Cir
Wasilla AK 99654-2617
Phone: (907) 357-8028
Fax: (907) 357-8028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | CM14941 | Alaska |
Profile Details
| NPI number | 1336340413 |
|---|---|
| LBN Legal business name | Ortega, Desiree |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 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 | 1336340413 | NPPES |
| Alaska | MEDICAID | CM14941 |
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