Provider Demographics
NPI:1225224199
Name:JPJN ENTERPRISES LLC
Entity Type:Organization
Organization Name:JPJN ENTERPRISES LLC
Other - Org Name:NORTH POLE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-488-1885
Mailing Address - Street 1:3375 BADGER RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-6133
Mailing Address - Country:US
Mailing Address - Phone:907-488-1885
Mailing Address - Fax:907-488-1887
Practice Address - Street 1:3375 BADGER RD
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTH POLE
Practice Address - State:AK
Practice Address - Zip Code:99705-6133
Practice Address - Country:US
Practice Address - Phone:907-488-1885
Practice Address - Fax:907-488-1887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK152524Medicare PIN