Waller, Elmer
Waller, Elmer is an sole proprietor health care provider with primary practice located at 436 5Th Street Ted Stevens Way , Kotzebue AK 99752. 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. Waller, Elmer can be contacted via phone (907) 442-7640.Contact Information
Primary practice address
436 5Th Street Ted Stevens Way
Kotzebue AK 99752
Phone: (907) 442-7640
Fax: (907) 442-7822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1013152800 |
|---|---|
| LBN Legal business name | Waller, Elmer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2008 |
| Last updated | Dec 8th, 2008 - about 18 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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