Unruh, Eric M
Unruh, Eric M is an sole proprietor health care provider with primary practice located at 17105 Park Place St , Eagle River AK 99577-7821. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Unruh, Eric M can be contacted via phone (907) 622-1002.Contact Information
Primary practice address
17105 Park Place St
Eagle River AK 99577-7821
Phone: (907) 622-1002
Fax: (907) 622-8808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 647 | Alaska |
Profile Details
| NPI number | 1295786119 |
|---|---|
| LBN Legal business name | Unruh, Eric M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1295786119 | NPPES |
| Alabama | MEDICAID | MH3681 |
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