Provider Demographics
NPI:1093043796
Name:A & E, INC.
Entity Type:Organization
Organization Name:A & E, INC.
Other - Org Name:AFTERNOONS & EVENINGS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MANNINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-474-0636
Mailing Address - Street 1:PO BOX 70947
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99707-0947
Mailing Address - Country:US
Mailing Address - Phone:907-474-0636
Mailing Address - Fax:907-474-0637
Practice Address - Street 1:820 SMYTHE ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4415
Practice Address - Country:US
Practice Address - Phone:907-474-0636
Practice Address - Fax:907-474-0637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty