Decarlo, John

Decarlo, John is an individual health care provider with primary practice located at 3801 University Lake Dr , Anchorage AK 99508-4639. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Decarlo, John can be contacted via phone (907) 563-8876.

Contact Information

Primary practice address
3801 University Lake Dr Anchorage AK 99508-4639
Phone: (907) 563-8876
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 694 Alaska

Profile Details

NPI number 1467416081
LBN Legal business name Decarlo, John
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1467416081 NPPES
Alaska MEDICAID OT4546

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