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Contact Information

ROBERT A STEPHAN JR
101 INDIAN CREEK RD
TYONEK, AK99682
 Phone: 907-583-2461
 Fax: 907-583-2115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for ROBERT A STEPHAN JR · (Male)

NPI Number 1215525936
Status Active
Credentials
Entity Individual
Enumeration date 01/07/2021
Last updated 04/10/2023 - About 3 years ago
Sole proprietor 1 No
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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