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Contact Information

SUMMER A MACK, CHA II
100 SLOCUM DRIVE
KING COVE, AK99612
 Phone: 907-497-2311
 Fax: 907-497-2310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for SUMMER A MACK · (Female)

NPI Number 1154636207
Status Active
Credentials CHA II
Entity Individual
Enumeration date 08/13/2010
Last updated 12/29/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AK Medicaid CL9107
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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