Provider Demographics
NPI:1093869042
Name:BEANE CHIROPRACTIC
Entity Type:Organization
Organization Name:BEANE CHIROPRACTIC
Other - Org Name:SITKA WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BEANE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-747-2726
Mailing Address - Street 1:315 LINCOLN ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7546
Mailing Address - Country:US
Mailing Address - Phone:907-747-2726
Mailing Address - Fax:907-747-6126
Practice Address - Street 1:315 LINCOLN ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7546
Practice Address - Country:US
Practice Address - Phone:907-747-2726
Practice Address - Fax:907-747-6126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK160603Medicare ID - Type Unspecified