Matthisen, Barry
Matthisen, Barry is an sole proprietor health care provider with primary practice located at 1000 E Dimond Blvd Ste 202 , Anchorage AK 99515-2029. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Matthisen, Barry can be contacted via phone (907) 349-4212.Contact Information
Primary practice address
1000 E Dimond Blvd Ste 202
Anchorage AK 99515-2029
Phone: (907) 349-4212
Fax: (907) 344-3381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 228 | Alaska |
Profile Details
| NPI number | 1487862868 |
|---|---|
| LBN Legal business name | Matthisen, Barry |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | May 3rd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487862868 | NPPES |
| Alaska | MEDICAID | CH1228 |
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