Marchant, Jack Dylan

Marchant, Jack Dylan is an individual health care provider with primary practice located at 7010 E Bogard Rd , Wasilla AK 99654-4711. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Marchant, Jack Dylan can be contacted via phone (907) 373-4732.

Contact Information

Primary practice address
7010 E Bogard Rd Wasilla AK 99654-4711
Phone: (907) 373-4732
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1982122743
LBN Legal business name Marchant, Jack Dylan
Credentials CDCII
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2017
Last updated Aug 17th, 2026 - about 3 months 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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