Mat-Su Integrative Medicine

LBN: Mat-Su Integrative Medicine
Mat-Su Integrative Medicine is an health care organization with primary practice located at 545 N Knik St Unit B, Wasilla AK 99654-7022. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mat-Su Integrative Medicine can be contacted via phone (907) 357-2322, or through Vincent, Ty R via phone (907) 357-2322.

Contact Information

Primary practice address
545 N Knik St Unit B Wasilla AK 99654-7022
Phone: (907) 357-2322
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vincent, Ty R
Phone: (907) 357-2322

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AK134 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AK5699 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AK5545 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X AK560 Alaska

Profile Details

NPI number 1649584566
LBN Legal business name Mat-Su Integrative Medicine
DBA Doing business as
Authorized official Vincent, Ty R
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2010
Last updated Aug 3rd, 2010 - about 15 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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