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Contact Information

AA PAIN CLINIC, INC.
4100 LAKE OTIS PKWY
SUITE 216
ANCHORAGE, AK99508-5222
 Phone: 907-563-2873
 Fax: 907-563-5852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for AA PAIN CLINIC, INC.

NPI # 1972596633
LBN Legal business name AA PAIN CLINIC, INC.
Authorized official LEON CHANDLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
AK Medicaid MDG444
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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