Provider Demographics
NPI:1275711848
Name:NATURAL HEALTH CHIROPRACTIC PC
Entity Type:Organization
Organization Name:NATURAL HEALTH CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:LOVELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-458-8633
Mailing Address - Street 1:PO BOX 83698
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99708-3698
Mailing Address - Country:US
Mailing Address - Phone:907-458-8633
Mailing Address - Fax:907-458-8622
Practice Address - Street 1:113 E FRONT ST
Practice Address - Street 2:
Practice Address - City:NOME
Practice Address - State:AK
Practice Address - Zip Code:99762-9800
Practice Address - Country:US
Practice Address - Phone:907-443-7477
Practice Address - Fax:907-447-7487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK902254111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK160655Medicare PIN