National Provider Identifier Database

ALASKA SPINE CENTER LLC
Ambulatory Surgical


Contact Information

ALASKA SPINE CENTER, LLC
4100 LAKE OTIS PKWY
SUITE 212
ANCHORAGE, AK99508-5230
Phone: 907-644-5500
Fax: 907-644-5555
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for ALASKA SPINE CENTER, LLC

NPI Number 1093710717
Legal business name
LBN
ALASKA SPINE CENTER, LLC
Authorized official LEON CHANDLER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/17/2005
Last updated 01/15/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 417904
  • AK Medicaid: AS5856

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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