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Organization

TIESZEN CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NEIL D. TIESZEN DC (OWNER)
(907) 677-6345
Entity
Organization

Contact information

Practice address
1310 E DIMOND BLVD, SUITE 2, ANCHORAGE, AK 99515-2012
(907) 677-6345
(907) 677-6604
Mailing address
PO BOX 112831, ANCHORAGE, AK 99511-2831
(907) 677-6345
(907) 677-6604

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
231
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
434227
STATE BUSINESS LICENSE
AK
Enumeration date
01/26/2007
Last updated
07/29/2014
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