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Contact Information

CHARLA KOOZAATA
190 CLINIC
GAMBELL, AK99742
 Phone: 907-985-5031
 Fax: 907-985-5085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CHARLA KOOZAATA · (Female)

NPI # 1124417951
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2015
Last updated 01/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AK Other CHA II CHA II
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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