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Contact Information

EAGLE RIVER ACUPUNCTURE LLC.
11723 OLD GLENN HWY
SUITE 205
EAGLE RIVER, AK99577-7733
 Phone: 907-726-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for EAGLE RIVER ACUPUNCTURE LLC.

NPI # 1609045459
LBN Legal business name EAGLE RIVER ACUPUNCTURE LLC.
Authorized official LEIF LIDIN-LAMON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2008
Last updated 01/28/2011 - About 15 years ago
Identifiers
AK License # A112
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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