Nicori, John Isaac
Nicori, John Isaac is an individual health care provider with primary practice located at 1410 Calista Drive , Bethel AK 99559-0528. 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. Nicori, John Isaac can be contacted via phone (907) 543-6730.Contact Information
Primary practice address
1410 Calista Drive
Bethel AK 99559-0528
Phone: (907) 543-6730
Fax: (907) 543-6712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1174144802 |
|---|---|
| LBN Legal business name | Nicori, John Isaac |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2020 |
| Last updated | May 5th, 2020 - about 6 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 | 1174144802 | NPPES |
| Alaska | MEDICAID | 1020986 |
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