Elizabeth Boytz

Individual provider Active NPI Case Manager/Care Coordinator · Ketchikan, AK

NPI 1760679641 · NPPES record last updated Sep 25, 2007

Key facts

NPI
1760679641
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
201 Deermount St
Ketchikan, AK 99901-6649
Phone
(907) 225-7825
Fax
(907) 225-1541
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

201 Deermount St
Ketchikan, AK 99901-6649

Mailing address

201 Deermount St
Ketchikan, AK 99901-6649
Phone (907) 225-7825

Other providers in Ketchikan, AK

All providers in Ketchikan, AK · Case Manager/Care Coordinator in Alaska

Sources for this page

Verify at the official NPI Registry.