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Contact Information

NEUROVERSION
2925 DEBARR RD
SUITE 240
ANCHORAGE, AK99508-2959
 Phone: 907-339-4650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for NEUROVERSION

NPI Number 1487102208
LBN Legal business name NEUROVERSION
Authorized official LUKE LIU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2016
Last updated 12/19/2016 - About 9 years ago
Identifiers
AK License # MEDS6555
AK Medicaid 1654351
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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