Organization
ALASKA CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E KRICHBAUM D.C. (PRESIDENT)
(907) 561-4864
Entity
Organization
Contact information
Practice address
701 E TUDOR RD, SUITE 125, ANCHORAGE, AK 99503-7457
(907) 561-4864
(907) 646-2212
Mailing address
701 E TUDOR RD, SUITE 125, ANCHORAGE, AK 99503-7457
(907) 561-4864
(907) 646-2212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A139
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR206
—
AK
Enumeration date
01/24/2007
Last updated
04/14/2008
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