Benjamin Coomer
Community Health Worker in Fairbanks, AK. Individual provider (NPI-1).
NPI number1124893979
StatusActive
Last updated in NPPESNov 21, 2023
Details
- NPI
- 1124893979
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Coomer
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2023
- Certification date
- Nov 21, 2023
- Last updated
- Nov 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
3101 Lathrop StFairbanks, AK 99701-7426
Phone 907-459-4700
Mailing address
3101 Lathrop StFairbanks, AK 99701-7426
Phone 907-459-4700
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All 460 Community Health Worker providers in Fairbanks · All 3,932 providers in Fairbanks
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