Aguchak, Mary Pauline
Aguchak, Mary Pauline is an individual health care provider with primary practice located at 150 Main Rd Scammon Bay Clinic, Scammon Bay AK 99662-0150. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Aguchak, Mary Pauline can be contacted via phone (907) 558-5511.Contact Information
Primary practice address
150 Main Rd Scammon Bay Clinic
Scammon Bay AK 99662-0150
Phone: (907) 558-5511
Fax: (907) 558-5705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X |
Profile Details
| NPI number | 1184997108 |
|---|---|
| LBN Legal business name | Aguchak, Mary Pauline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2012 |
| Last updated | Dec 6th, 2012 - about 14 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 | 1184997108 | NPPES |
| Alaska | MEDICAID | 9439 |
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