DR. MARY LORENE PFEIFER D.C. NPI 1073658837

NPI Information

NPI: 1073658837
Provider Name: DR. MARY LORENE PFEIFER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2901 BARANOF AVE
KETCHIKAN, AK
ZIP 99901
Phone: (907) 225-9090
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DR. Mary Lorene Pfeifer, D.C. is a chiropractor in Ketchikan, AK. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Mary Lorene Pfeifer, D.C. NPI is 1073658837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2901 BARANOF AVE
KETCHIKAN, AK
ZIP 99901-765
Phone: (907) 225-9090
Fax: (907) 225-9001

The enumeration date for this NPI number is 2/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		157	ALASKA	Yes
2	111NR0400X	Chiropractor	Rehabilitation	737	ALASKA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CH0157	MEDICAID	ALASKA
2	00WFBGRB	MEDICARE ID-TYPE UNSPECIFIED	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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