Organization
NORTH COUNTRY CHIROPRACTIC AND NATURAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE E ALLEN JR. DC (CEO)
(907) 457-5100
Entity
Organization
Contact information
Practice address
3677 COLLEGE ROAD, SUITE 7, FAIRBANKS, AK 99709
(907) 457-5100
(907) 457-5102
Mailing address
3677 COLLEGE ROAD, SUITE 7, FAIRBANKS, AK 99709
(907) 457-5100
(907) 457-5102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1005
HI
111N00000X
Chiropractor
Primary
AK204
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207615100000
BCBS PREMERA OF ALASKA
AK
05
—
CH2040
—
AK
Enumeration date
11/06/2006
Last updated
08/22/2020
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