Smith, Carolyn
Smith, Carolyn is an sole proprietor health care provider with primary practice located at 1500 Kanakanak Road , Dillingham AK 99576-0310. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Smith, Carolyn can be contacted via phone (907) 842-4139.Contact Information
Primary practice address
1500 Kanakanak Road
Dillingham AK 99576-0310
Phone: (907) 842-4139
Fax: (907) 842-4106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | CM 9533 | Alaska |
Profile Details
| NPI number | 1154538460 |
|---|---|
| LBN Legal business name | Smith, Carolyn |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1154538460 | NPPES |
| Alaska | MEDICAID | CM 9533 |
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