Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Alonzo Craig Leisholmn Sr., CHA-IV

Individual provider Community Health Worker · NPI 1225303878

Mr. Alonzo Craig Leisholmn Sr., CHA-IV is a Community Health Worker in Metlakatla, Alaska. Licensed in Alaska. Registered with an NPI since 2012.

Licensed in
AK
In the registry since
2012

Practice location Address checks out

563 Brendible St
Metlakatla, AK 99926-0439
Phone: (907) 886-4741
Fax: (907) 886-5831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 12-1169-IV (AK)

Record details

NPI number1225303878
Entity typeIndividual (Type 1)
GenderMale
Credentials CHA-IV
Sole proprietorNo
NPI enumeratedMarch 15, 2012
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022

Other providers in Metlakatla