Smith, Octavia
Smith, Octavia is an individual health care provider with primary practice located at 7521 Brayton Dr , Anchorage AK 99507-2667. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Smith, Octavia can be contacted via phone (907) 929-5826.Contact Information
Primary practice address
7521 Brayton Dr
Anchorage AK 99507-2667
Phone: (907) 929-5826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X |
Profile Details
| NPI number | 1053995118 |
|---|---|
| LBN Legal business name | Smith, Octavia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2021 |
| Last updated | May 5th, 2021 - about 3 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 | 1053995118 | NPPES |
| Alaska | Other | N.A | N.A |
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