Nordstrom, Leroy D.
Nordstrom, Leroy D. is an sole proprietor health care provider with primary practice located at 207 E Dimond Blvd , Anchorage AK 99515-1909. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Nordstrom, Leroy D. can be contacted via phone (907) 344-5633.Contact Information
Primary practice address
207 E Dimond Blvd
Anchorage AK 99515-1909
Phone: (907) 344-5633
Fax: (907) 344-5688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 123 | Alaska |
Profile Details
| NPI number | 1407910003 |
|---|---|
| LBN Legal business name | Nordstrom, Leroy D. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1407910003 | NPPES |
| Alaska | MEDICAID | CH0082 |
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