Provider Demographics
NPI:1689035974
Name:ADKINS CHIROPRACTIC PC
Entity Type:Organization
Organization Name:ADKINS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATI
Authorized Official - Middle Name:
Authorized Official - Last Name:HACKENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-333-3535
Mailing Address - Street 1:12570 OLD SEWARD HWY
Mailing Address - Street 2:UNIT 101
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3506
Mailing Address - Country:US
Mailing Address - Phone:907-333-3535
Mailing Address - Fax:907-333-3530
Practice Address - Street 1:12570 OLD SEWARD HWY
Practice Address - Street 2:UNIT 101
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3506
Practice Address - Country:US
Practice Address - Phone:907-333-3535
Practice Address - Fax:907-333-3530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK106237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty