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Contact Information

1 LARSON CHIROPRACTIC 2 BACK IN ACTION PHYSICAL REHABILITATION CENTER
LBN DR DANIEL W LARSON PC
1001 E BOGARD RD
WASILLA, AK99654-7114
 Phone: 907-376-2225
 Fax: 907-376-9225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for 1 LARSON CHIROPRACTIC 2 BACK IN ACTION PHYSICAL REHABILITATION CENTER

NPI # 1043388838
LBN Legal business name DR DANIEL W LARSON PC
DBA Doing business as 1 LARSON CHIROPRACTIC 2 BACK IN ACTION PHYSICAL REHABILITATION CENTER
Authorized official DANIEL LARSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 03/26/2008 - About 12 years ago
Identifiers n/a
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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