Peter, Ethel Beverly

Peter, Ethel Beverly is an individual health care provider with primary practice located at 100 Spruce St. , Fort Yukon AK 99740. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Peter, Ethel Beverly can be contacted via phone (907) 662-2460.

Contact Information

Primary practice address
100 Spruce St. Fort Yukon AK 99740
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1316206576
LBN Legal business name Peter, Ethel Beverly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2012
Last updated May 9th, 2012 - about 12 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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