Provider Demographics
NPI:1013405109
Name:ESAI, DANTE WILLIAM (CHA-1)
Entity Type:Individual
Prefix:
First Name:DANTE
Middle Name:WILLIAM
Last Name:ESAI
Suffix:
Gender:M
Credentials:CHA-1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9170
Mailing Address - Street 2:
Mailing Address - City:NIKOLAI
Mailing Address - State:AK
Mailing Address - Zip Code:99691-0070
Mailing Address - Country:US
Mailing Address - Phone:907-293-2328
Mailing Address - Fax:907-293-2330
Practice Address - Street 1:SALMONBERRY LAKE RD
Practice Address - Street 2:
Practice Address - City:NIKOLAI
Practice Address - State:AK
Practice Address - Zip Code:99691
Practice Address - Country:US
Practice Address - Phone:907-293-2328
Practice Address - Fax:907-293-2330
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide