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Contact Information

MADISON ANDERSON
6000 KANAKANAK RD.
DILLINGHAM, AK99576
 Phone: 907-512-7107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for MADISON ANDERSON · (Female)

NPI # 1114463437
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2017
Last updated 06/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 16-1396-III
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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