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Contact Information

SHARON L LOCK, CHA II
59 PUNGUK STREET
GOLOVIN, AK99762
 Phone: 907-779-3311
 Fax: 907-779-3312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for SHARON L LOCK · (Female)

NPI Number 1649549015
Status Active
Credentials CHA II
Entity Individual
Enumeration date 12/14/2011
Last updated 01/06/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 04-008 EFD-HA1
  • AK License # CHAII
  • AK Medicaid 04-008 DFT-HA1
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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