Johnson, Miles Haakon
Johnson, Miles Haakon is an individual health care provider with primary practice located at 16941 N Eagle River Loop Rd Ste 3 , Eagle River AK 99577-7824. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Johnson, Miles Haakon can be contacted via phone (907) 726-5330.Contact Information
Primary practice address
16941 N Eagle River Loop Rd Ste 3
Eagle River AK 99577-7824
Phone: (907) 726-5330
Fax: (907) 726-5330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1730688698 |
|---|---|
| LBN Legal business name | Johnson, Miles Haakon |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2018 |
| Last updated | Feb 6th, 2018 - about 8 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 | 1730688698 | NPPES |
| Alaska | Other | RBT-18-49272 | TRICARE |
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