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Contact Information

MARY P AGUCHAK
150 MAIN RD
SCAMMON BAY CLINIC
SCAMMON BAY, AK99662-0150
 Phone: 907-558-5511
 Fax: 907-558-5705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for MARY P AGUCHAK · (Female)

NPI Number 1184997108
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2012
Last updated 12/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AK Medicaid 9439
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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