Charlton, Alice

Charlton, Alice is an sole proprietor health care provider with primary practice located at 970 6Th Ave , Bethel AK 99559-0652. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Charlton, Alice can be contacted via phone (907) 543-4633.

Contact Information

Primary practice address
970 6Th Ave Bethel AK 99559-0652
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1821218157
LBN Legal business name Charlton, Alice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2007
Last updated Mar 22nd, 2010 - about 16 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 1821218157 NPPES
Alaska MEDICAID MH0150

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