Provider Demographics
NPI:1467503565
Name:STERNQUIST, GREG L (DC)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:L
Last Name:STERNQUIST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 ABBOTT RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-3867
Mailing Address - Country:US
Mailing Address - Phone:907-770-5700
Mailing Address - Fax:907-770-5701
Practice Address - Street 1:2020 ABBOTT RD
Practice Address - Street 2:SUITE 2
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-3867
Practice Address - Country:US
Practice Address - Phone:907-770-5700
Practice Address - Fax:907-770-5701
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK0287111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK0000QG8GSMedicare ID - Type Unspecified
AKU29257Medicare UPIN