Wasonga, Elizabeth Mbula
Wasonga, Elizabeth Mbula is an sole proprietor health care provider with primary practice located at 828 Chief Eddie Hoffman Hwy , Bethel AK 99559-0528. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wasonga, Elizabeth Mbula can be contacted via phone (907) 543-6100.Contact Information
Primary practice address
828 Chief Eddie Hoffman Hwy
Bethel AK 99559-0528
Phone: (907) 543-6100
Fax: (907) 543-6159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 20115 | Texas |
Profile Details
| NPI number | 1215105762 |
|---|---|
| LBN Legal business name | Wasonga, Elizabeth Mbula |
| Credentials | LPC-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Dec 1st, 2020 - about 4 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 | 1215105762 | NPPES |
| Alaska | MEDICAID | 1020986 | |
| Alaska | Other | 88601L | |
| Alaska | MEDICAID | 193427501 |
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