Organization
FAIRBANKS CHIROPRACTIC CLINIC, INCORPORATED
Active
Other names
Fairbanks Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA CADDEN (BILLING MANAGER)
(907) 456-6213
Entity
Organization
Contact information
Practice address
1118 2ND AVENUE, FAIRBANKS, AK 99701-4228
(907) 456-6213
(907) 452-5925
Mailing address
1118 2ND AVENUE, FAIRBANKS, AK 99701-4228
(907) 456-6213
(907) 452-5925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
443
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000736
—
AK
Enumeration date
07/23/2007
Last updated
01/06/2025
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