Provider Demographics
NPI:1952439754
Name:HATTON, CYNTHIA D (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:D
Last Name:HATTON
Suffix:
Gender:F
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:PO BOX 670848
Mailing Address - Street 2:
Mailing Address - City:CHUGIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99567-0848
Mailing Address - Country:US
Mailing Address - Phone:907-688-3688
Mailing Address - Fax:907-688-3687
Practice Address - Street 1:20775 OLD GLENN HWY
Practice Address - Street 2:SUITE D
Practice Address - City:CHUGIAK
Practice Address - State:AK
Practice Address - Zip Code:99567-0848
Practice Address - Country:US
Practice Address - Phone:907-688-3688
Practice Address - Fax:907-688-3687
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK427111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCH0131Medicaid
AK160674Medicare PIN