Provider Demographics
NPI:1225415045
Name:CHIROPRACTIC FIRST LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC FIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOZWIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-463-3051
Mailing Address - Street 1:10301 GLACIER HWY STE 120
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8565
Mailing Address - Country:US
Mailing Address - Phone:907-463-3051
Mailing Address - Fax:907-463-3171
Practice Address - Street 1:10301 GLACIER HWY STE 120
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8565
Practice Address - Country:US
Practice Address - Phone:907-463-3051
Practice Address - Fax:907-463-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK436111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK166550OtherPTAN
AK1225415045OtherNPI
AK=========OtherEIN