Organization
CLINIC OF CHIROPRACTIC HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH H COZADD (ACCOUNTS ADMINISTRATOR)
(907) 235-7146
Entity
Organization
Contact information
Practice address
141 W PIONEER AVE, HOMER, AK 99603-7525
(907) 235-7146
(907) 235-7186
Mailing address
141 W PIONEER AVE, HOMER, AK 99603-7525
(907) 235-7146
(907) 235-7186
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
CHIC137
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000567
—
AK
Enumeration date
01/20/2017
Last updated
01/20/2017
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