National Provider Identifier Database

COMMUNITY CONNECTIONS
Mental Health


Contact Information

COMMUNITY CONNECTIONS
721 STEDMAN ST
KETCHIKAN, AK99901-6632
Phone: 907-220-6117
Fax:
Website:
Specialty Taxonomy Code
* Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for COMMUNITY CONNECTIONS

NPI Number 1255079638
Legal business name
LBN
COMMUNITY CONNECTIONS
Authorized official JAMES JOHNSON - (QUALITY ASSURANCE COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 05/25/2022
Last updated 05/25/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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