Soderstrom, Karl Robert
Soderstrom, Karl Robert is an individual health care provider with primary practice located at 591 S Knik Goose Bay Rd , Wasilla AK 99654-8062. 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. Soderstrom, Karl Robert can be contacted via phone (907) 313-1333.Contact Information
Primary practice address
591 S Knik Goose Bay Rd
Wasilla AK 99654-8062
Phone: (907) 313-1333
Fax: (907) 357-8781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1942866009 |
|---|---|
| LBN Legal business name | Soderstrom, Karl Robert |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2019 |
| Last updated | Feb 18th, 2020 - about 5 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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