Provider Demographics
NPI:1740273812
Name:BILLY DC MCAFEE D.C., P.C.
Entity type:Organization
Organization Name:BILLY DC MCAFEE D.C., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:DC
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-378-8560
Mailing Address - Street 1:1099 FARMERS LOOP RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-6821
Mailing Address - Country:US
Mailing Address - Phone:907-378-5385
Mailing Address - Fax:907-457-5102
Practice Address - Street 1:1773 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-4176
Practice Address - Country:US
Practice Address - Phone:907-457-5100
Practice Address - Fax:907-457-5102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK111N00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK152648Medicare ID - Type UnspecifiedGROUP
AKK152648Medicare PIN