Puhak, Penny K
Puhak, Penny K is an individual health care provider with primary practice located at 104 Center Ave Ste 100 , Kodiak AK 99615-6393. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Puhak, Penny K can be contacted via phone (907) 486-4183.Contact Information
Primary practice address
104 Center Ave Ste 100
Kodiak AK 99615-6393
Phone: (907) 486-4183
Fax: (907) 486-4233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1842 | Alaska |
Profile Details
| NPI number | 1689711715 |
|---|---|
| LBN Legal business name | Puhak, Penny K |
| Credentials | ETC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 27th, 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 | 1689711715 | NPPES |
| Alaska | MEDICAID | MD1532 | |
| Alaska | MEDICAID | GR0124 |
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