Booshu, Jill
Booshu, Jill is an individual health care provider with primary practice located at 190 Clinic Road Box 190, Gambell AK 99742-0190. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Booshu, Jill can be contacted via phone (907) 985-5015.Contact Information
Primary practice address
190 Clinic Road Box 190
Gambell AK 99742-0190
Phone: (907) 985-5015
Fax: (907) 985-5085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 03-602-IV | Alaska |
Profile Details
| NPI number | 1174890867 |
|---|---|
| LBN Legal business name | Booshu, Jill |
| Credentials | CHA IV |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2011 |
| Last updated | Nov 23rd, 2011 - about 15 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 | 1174890867 | NPPES |
| Alaska | Other | CHA-IV | 03-602-IV |
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