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Contact Information

MICHAEL DONNELL
6000 KANAKANAK ROAD
DILLINGHAM, AK99576
 Phone: 972-533-3636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MICHAEL DONNELL · (Male)

NPI # 1407449291
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2021
Last updated 12/11/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • AK License # 193632
  • AK Medicaid 1760671
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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