Carl, Jamin Edward

Carl, Jamin Edward is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy , Bethel AK 99555-0528. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Carl, Jamin Edward can be contacted via phone (907) 543-6100.

Contact Information

Primary practice address
829 Chief Eddie Hoffman Hwy Bethel AK 99555-0528
Fax: (907) 543-6159
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1164006185
LBN Legal business name Carl, Jamin Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2021
Last updated May 6th, 2021 - about 5 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 1164006185 NPPES
Alabama MEDICAID 1020986

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