Marlar, Gary Michael

Marlar, Gary Michael is an individual health care provider with primary practice located at 717 Rezanof Dr E , Kodiak AK 99615-6416. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Marlar, Gary Michael can be contacted via phone (907) 481-2400.

Contact Information

Primary practice address
717 Rezanof Dr E Kodiak AK 99615-6416
Phone: (907) 481-2400
Fax: (907) 481-2419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2433 Alaska
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 014867

Profile Details

NPI number 1447683917
LBN Legal business name Marlar, Gary Michael
Credentials CDCII, NCAC I
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2013
Last updated Aug 19th, 2013 - about 12 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 1447683917 NPPES
Alaska MEDICAID MH2237

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