ELITE REHABILITATION PC; NPI #1912121575

Contact Information

ELITE REHABILITATION PC

104 S BINKLEY ST
SUITE C
SOLDOTNA, AK 99669-8006

Phone: 907-262-7644
Fax: 907-262-6744
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Corporate Health	261QC1800X

Indicates primary specialty

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NPI Profile & details for ELITE REHABILITATION PC

NPI # 1912121575

LBN Legal business name ELITE REHABILITATION PC

Authorized official REBECCA BYERLEY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/12/2007

Last updated 07/11/2007 - About 19 years ago

Identifiers

License #

1014

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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