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Contact Information

JENNY B DEMANTLE
1410 CALISTA DRIVE
BETHEL, AK99559
 Phone: 907-543-6730
 Fax: 907-543-6712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JENNY B DEMANTLE · (Female)

NPI # 1013424746
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2018
Last updated 01/03/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AK Medicaid 1020986
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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