Provider Demographics
NPI:1770668378
Name:PAIRMORE, JOHN ANTHONY (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ANTHONY
Last Name:PAIRMORE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 DENALI ST
Mailing Address - Street 2:STE. 1
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-4041
Mailing Address - Country:US
Mailing Address - Phone:907-677-6953
Mailing Address - Fax:907-677-6954
Practice Address - Street 1:3210 DENALI ST
Practice Address - Street 2:STE 1
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-4041
Practice Address - Country:US
Practice Address - Phone:907-677-6953
Practice Address - Fax:907-677-6954
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKU93624Medicare UPIN