Eagle River Pain & Wellness

LBN: Jessica Spayd
Eagle River Pain & Wellness is an health care organization with primary practice located at 11823 Old Glenn Hwy Suite 110, Eagle River AK 99577-7734. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Jessica Spayd can be contacted via phone (907) 622-4673, or through Spayd, Jessica J via phone (907) 622-4673.

Contact Information

Primary practice address
11823 Old Glenn Hwy Suite 110 Eagle River AK 99577-7734
Phone: (907) 622-4673
Fax: (907) 622-4674
Website:
Map and Directions
Authorized official contact:
Name: Spayd, Jessica J Adult Nurse Practitioner (ANP)
Phone: (907) 622-4673

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4245, 677, 20608 Alaska
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 4245, 677, 20608 Alaska
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4245, 677, 20608 Alaska
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4245, 677, 20608 Alaska
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 4245, 677, 20608 Alaska
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4245, 677, 20608 Alaska
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 4245, 677, 20608 Alaska

Profile Details

NPI number 1255465720
LBN Legal business name Jessica Spayd
DBA Doing business as Eagle River Pain & Wellness
Authorized official Spayd, Jessica J Adult Nurse Practitioner (ANP)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Apr 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255465720 NPPES
Alaska MEDICAID MD42453
Alaska MEDICAID NP9295
Alaska Other 1386602019
Alaska Other 1326187055

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