Organization
SITKACHIRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE WALDEN DC (PHYSICIAN / MANAGING MEMBER)
(801) 543-9367
Entity
Organization
Contact information
Practice address
310 ERLER ST, SITKA, AK 99835-7336
(907) 747-8502
Mailing address
1807 SAWMILL CREEK RD, SITKA, AK 99835-9768
(801) 543-9367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102625
STATE OF ALASKA
AK
Enumeration date
05/27/2020
Last updated
05/27/2020
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