Sports & Spinal Injury Clinic, Llc

LBN: Sports & Spinal Injury Clinic, Llc
Sports & Spinal Injury Clinic, Llc is an health care organization with primary practice located at 6634 Lake Otis Pkwy A, Anchorage AK 99507-2176. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Sports & Spinal Injury Clinic, Llc can be contacted via phone (907) 522-3511, or through Huettl, Matthew K via phone (907) 522-3511.

Contact Information

Primary practice address
6634 Lake Otis Pkwy A Anchorage AK 99507-2176
Phone: (907) 522-3511
Fax: (907) 522-8551
Website:
Map and Directions
Authorized official contact:
Name: Huettl, Matthew K Doctor of Chiropractic (DC)
Phone: (907) 522-3511

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1174719199
LBN Legal business name Sports & Spinal Injury Clinic, Llc
DBA Doing business as
Authorized official Huettl, Matthew K Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Sep 16th, 2010 - about 14 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 1174719199 NPPES
Alaska MEDICAID CH0328

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