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Contact Information

ALTAIR INTEGRATIVE WELLNESS
892 E USA CIR STE 108
WASILLA, AK99654-7106
 Phone: 907-357-1818
 Fax: 907-357-1814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
 

Family

363LF0000X 50 Nurse Practitioner
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ALTAIR INTEGRATIVE WELLNESS

NPI # 1932744836
LBN Legal business name ALTAIR INTEGRATIVE WELLNESS
Authorized official TARA WORKMAN DC - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2019
Last updated 11/25/2024 - More than a year ago
Identifiers
AK Medicaid 1633093
AK Medicaid 1636141
AK Medicaid 1702799
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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