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Contact Information

CHANTEL M MULLIGAN REAR, CHA-1
28 STATE DOCK ROAD
GUSTVAUS, AK99826
 Phone: 907-697-3008
 Fax: 907-697-3034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CHANTEL M MULLIGAN REAR · (Female)

NPI # 1568236610
Status Active
Credentials CHA-1
Entity Individual
Enumeration date 11/09/2023
Last updated 11/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 23-1718-I
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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