Alaska Pain And Injury Clinic | |
2008 E Northern Lights Blvd Anchorage AK 99508-4101 | |
(907) 677-9215 | |
(907) 569-5078 |
Full Name | Alaska Pain And Injury Clinic |
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Speciality | Clinic/Center |
Location | 2008 E Northern Lights Blvd, Anchorage, Alaska |
Authorized Official Name and Position | Evan G Tipikin (OWNER/ PROVIDER) |
Authorized Official Contact | 9076779215 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alaska Pain And Injury Clinic 2008 E Northern Lights Blvd Anchorage AK 99508-4101 Ph: (907) 677-9215 | Alaska Pain And Injury Clinic 2008 E Northern Lights Blvd Anchorage AK 99508-4101 Ph: (907) 677-9215 |
NPI Number | 1457547150 |
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Provider Enumeration Date | 09/18/2007 |
Last Update Date | 05/07/2018 |
Medicare PECOS PAC ID | 7810084365 |
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Medicare Enrollment ID | O20071030000535 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457547150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 902212 (Alaska) | Primary |
Provider Name | Evan G Tipikin |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639292477 PECOS PAC ID: 0345339388 Enrollment ID: I20080131000005 |
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