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ALASKA SPINE & PAIN CENTER LLC NPI 1659869089


NPI Information

NPI: 1659869089
Provider Name: ALASKA SPINE & PAIN CENTER, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3901 OLD SEWARD HWY STE 11
ANCHORAGE, AK
ZIP 99503
Phone: (907) 770-9225
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ALASKA SPINE & PAIN CENTER, LLC is a multi-specialty clinic center in Anchorage, AK. ALASKA SPINE & PAIN CENTER, LLC NPI is 1659869089. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3901 OLD SEWARD HWY STE 11
ANCHORAGE, AK
ZIP 99503
Phone: (907) 770-9225

The provider's authorized official is Caleb Jeremiah Craig .
The authorized official title is Owner/ Doctor and has the following contact phone number (907) 561-4474.

The enumeration date for this NPI number is 5/1/2018 and was last updated on 11/16/2018.


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
1111N00000XChiropractorNo
2111NN0400XChiropractorNeurologyNo
3261QP2000XClinic/CenterPhysical TherapyNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

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
11579313MEDICAIDALASKA

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

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