Provider Demographics
NPI:1952540155
Name:HAPONSKI, GARRETT PAUL (DC)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:PAUL
Last Name:HAPONSKI
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 1:320 BAWDEN ST STE 306
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-6544
Mailing Address - Country:US
Mailing Address - Phone:907-360-8887
Mailing Address - Fax:907-225-5767
Practice Address - Street 1:320 BAWDEN ST STE 306
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-6544
Practice Address - Country:US
Practice Address - Phone:907-360-8887
Practice Address - Fax:907-225-5767
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKCHIC487111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor