EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY LLC NPI 1619333788

NPI Information

NPI: 1619333788
Provider Name: EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
223 GOLD ST UPPR UNIT
JUNEAU, AK
ZIP 99801
Phone: (907) 419-9042
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EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY, LLC is a primary care clinic center in Juneau, AK. EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY, LLC NPI is 1619333788. The provider is registered as an organization entity type.

The provider's business location address is:

223 GOLD ST UPPR UNIT
JUNEAU, AK
ZIP 99801-210
Phone: (907) 419-9042
Fax: (907) 586-8698

The provider's authorized official is Rebecca Marie Van De Water .
The authorized official title is Owner and has the following contact phone number (907) 419-9042.

The enumeration date for this NPI number is 1/5/2016 and was last updated on 1/5/2016.

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	261QP2300X	Clinic/Center	Primary Care	983	ALASKA	Yes

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	1022737	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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