Individual
JAYNE SONTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
47010 TOBACCO LANE, SOLDOTNA, AK 99669
(907) 748-5895
(907) 262-6411
Mailing address
PO BOX 1373, SOLDOTNA, AK 99669-1373
(907) 748-5895
(907) 262-6411
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
31
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-0164143
IRS INDIVIDUAL TAXPAYER
—
Enumeration date
02/27/2007
Last updated
02/11/2014
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