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MR. BILLY DAVID SHORTLAND CHAP
>> Community Health Worker >> Other Service ProvidersRegistrant NPI Number: 1982831350
Individual Registrant:MR. BILLY DAVID SHORTLAND CHAP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
214 DING HOW LANE BOX 51 OLD HARBOR, AK 99643 US
Tel: 907-286-2232 Fax: --
Tel: 907-286-2232 Fax: --
Contact information for business:
214 DING HOW LANE BOX 51 OLD HARBOR, AK 99643 US
Tel: 907-286-2232 Fax: --
Tel: 907-286-2232 Fax: --
Registration Information:
NPI: 1982831350
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 172V00000X | Other Service Providers Community Health Worker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
