Provider Demographics
NPI:1265671200
Name:ALASKA TRAVEL SOURCE
Entity Type:Organization
Organization Name:ALASKA TRAVEL SOURCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-522-1299
Mailing Address - Street 1:1236 E 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-2370
Mailing Address - Country:US
Mailing Address - Phone:907-522-1299
Mailing Address - Fax:907-344-8200
Practice Address - Street 1:1236 E 72ND AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-2370
Practice Address - Country:US
Practice Address - Phone:907-522-1299
Practice Address - Fax:907-344-8200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-16
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK299903347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker