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Contact Information

THOMAS JACKON, COMMUNITY HEALTHAIDE
436 5TH TED STEVENS WAY
MANIILAQ HEALTH CENTER
KOTZEBUE, AK99752
 Phone: 907-442-7162
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for THOMAS JACKON · (Male)

NPI # 1104275189
Status Active
Credentials COMMUNITY HEALTHAIDE
Entity Individual
Enumeration date 06/09/2016
Last updated 06/09/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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