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FAIRBANKS FAMILY WELLNESSLLC NPI 1285019869


NPI Information

NPI: 1285019869
Provider Name: FAIRBANKS FAMILY WELLNESS,LLC
Classification: Naturopath - 175F00000X
Entity Type: Organization

CLIA Number: 02D2144657

Address:
3550 AIRPORT WAY STE 4
FAIRBANKS, AK
ZIP 99709
Phone: (907) 479-2306
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FAIRBANKS FAMILY WELLNESS,LLC is a naturopath in Fairbanks, AK. The provider is diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. FAIRBANKS FAMILY WELLNESS,LLC NPI is 1285019869. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3550 AIRPORT WAY STE 4
FAIRBANKS, AK
ZIP 99709-772
Phone: (907) 479-2306

The provider's authorized official is Sherry Jean Falconer .
The authorized official title is Billing Supervisor and has the following contact phone number (907) 479-2331.

The CLIA number assigned to this NPI record is 02D2144657 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 10/5/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor596ALASKANo
2171100000XAcupuncturist152ALASKANo
3175F00000XNaturopath40ALASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERALASKAPREMERA BLUE CROSS BLUE SHIELD

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: 11/14/2023

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