Provider Demographics
NPI:1689959181
Name:NORTHERN CONSTRUCTION, INC
Entity Type:Organization
Organization Name:NORTHERN CONSTRUCTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-766-2899
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:HAINES
Mailing Address - State:AK
Mailing Address - Zip Code:99827-0489
Mailing Address - Country:US
Mailing Address - Phone:907-766-2899
Mailing Address - Fax:907-766-2699
Practice Address - Street 1:MILE 1.5 HAINES HWY
Practice Address - Street 2:
Practice Address - City:HAINES
Practice Address - State:AK
Practice Address - Zip Code:99827-0489
Practice Address - Country:US
Practice Address - Phone:907-766-2899
Practice Address - Fax:907-766-2699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4118171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty