Simmons, Michele

Simmons, Michele is an individual health care provider with primary practice located at 829 Chief Eddy Hoffman Hwy , Bethel AK 99559. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Simmons, Michele can be contacted via phone (907) 543-6100.

Contact Information

Primary practice address
829 Chief Eddy Hoffman Hwy Bethel AK 99559
Fax: (907) 543-6008
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X PCOP464 Alaska

Profile Details

NPI number 1912128141
LBN Legal business name Simmons, Michele
Credentials PCOP
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912128141 NPPES
Alaska MEDICAID MH0150

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