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Contact Information

FAIRBANKS FAMILY WELLNESS,LLC
3550 AIRPORT WAY STE 4
FAIRBANKS, AK99709-4772
 Phone: 907-479-2306
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Acupuncturist

171100000X
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for FAIRBANKS FAMILY WELLNESS,LLC

NPI # 1285019869
LBN Legal business name FAIRBANKS FAMILY WELLNESS,LLC
Authorized official SHERRY FALCONER - (BILLING SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2015
Last updated 10/05/2015 - About 11 years ago
Identifiers
AK License # 152
AK License # 40
AK License # 596
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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