Individual
MICHAEL P NICOLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HEY, BETHEL, AK 99559
(907) 543-6100
(907) 543-6159
Mailing address
P.O. BOX 528, ATTN: PREVENTATIVE SERVICES, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6159
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
08/18/2020
Last updated
09/01/2020
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