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Contact Information

ROSEMARIE WATERS, LMP
315 S. KOBUK ST.
SUITE #2
SOLDOTNA, AK99669
 Phone: 907-420-0820
 Fax: 253-639-4809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for ROSEMARIE WATERS · (Female)

NPI # 1073755237
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 04/01/2009
Last updated 02/17/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 101540
  • WA License # MA60055196
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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