Provider Demographics
NPI:1447577200
Name:ADVANCED BODY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ADVANCED BODY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-277-5525
Mailing Address - Street 1:626 CORDOVA STREET SUITE 105
Mailing Address - Street 2:ADVANCED BODY SOLUTIONS
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501
Mailing Address - Country:US
Mailing Address - Phone:907-277-5525
Mailing Address - Fax:907-277-5526
Practice Address - Street 1:626 CORDOVA STREET SUITE 105
Practice Address - Street 2:ADVANCED BODY SOLUTIONS
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501
Practice Address - Country:US
Practice Address - Phone:907-277-5525
Practice Address - Fax:907-277-5526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1780118489OtherNUMBER
AK1104005495OtherNUMBER
AK1518695055OtherNUMBER
AK1568914125OtherNUMBER
AK939309OtherLICENSE NUMBER
AK1427418847OtherNUMBER
AK1508189549OtherNUMBER
AK1891268744OtherNUMBER