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Contact Information

LOUIS MALLETTE SR
940 STATE HWY
BETHEL, AK99559
 Phone: 907-543-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LOUIS MALLETTE SR · (Male)

NPI # 1003055187
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2009
Last updated 02/12/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AK Medicaid DA4442
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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