Smith, Carol L

Smith, Carol L is an individual health care provider with primary practice located at 1 Scow John Road , White Mountain AK 99784-0029. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Smith, Carol L can be contacted via phone (907) 638-3311.

Contact Information

Primary practice address
1 Scow John Road White Mountain AK 99784-0029
Phone: (907) 638-3311
Fax: (907) 638-2007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 98-146-P Alaska

Profile Details

NPI number 1417224106
LBN Legal business name Smith, Carol L
Credentials CHP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2011
Last updated Nov 23rd, 2011 - about 13 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 1417224106 NPPES
Alaska Other 98-146-P CHP

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