Provider Demographics
NPI:1508680760
Name:STRAIGHT UP CHIROPRACTIC
Entity type:Organization
Organization Name:STRAIGHT UP CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAY ANTHONY
Authorized Official - Last Name:PEARCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-337-7463
Mailing Address - Street 1:1120 HUFFMAN RD STE 23
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3561
Mailing Address - Country:US
Mailing Address - Phone:907-337-7463
Mailing Address - Fax:907-337-7400
Practice Address - Street 1:1120 HUFFMAN RD STE 23
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3561
Practice Address - Country:US
Practice Address - Phone:907-337-7463
Practice Address - Fax:907-337-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty