Koozaata, Charla
Koozaata, Charla is an individual health care provider with primary practice located at 190 Clinic , Gambell AK 99742. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Koozaata, Charla can be contacted via phone (907) 985-5031.Contact Information
Primary practice address
190 Clinic
Gambell AK 99742
Phone: (907) 985-5031
Fax: (907) 985-5085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Alaska |
Profile Details
| NPI number | 1124417951 |
|---|---|
| LBN Legal business name | Koozaata, Charla |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2015 |
| Last updated | Jan 16th, 2015 - about 11 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 | 1124417951 | NPPES |
| Alaska | Other | CHA II | CHA II |
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