ARCTIC CHIROPRACTIC EAST MAT-SU LLC (NPI# 1437489903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437489903 |
| Entity Type | Organization |
| Organization Name | ARCTIC CHIROPRACTIC EAST MAT-SU LLC |
| Practice Address |
1734 Prospect Dr Palmer AK 99645 |
| Mailing Address |
1150 S Colony Way Ste 3 Pmb 221 Palmer AK 99645-6900 |
| Practice Telephone | 9077467842 |
| Mailing Telephone | 9077467842 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | DWAYNE ENGELBRECHT (OWNER) |
| Authorized Official Telephone | 9077467842 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
1734 PROSPECT DR |
| City | PALMER |
| State | AK |
| Zip Code | 99645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178349 | Arctic Medical Center Matsu | Clinic/Center | 1734 Prospect Dr, Palmer, AK 99645 | 2020-09-09 |
| 1770130023 | Renee Jacqueline Howard | Massage Therapist | 1734 Prospect Dr, Palmer, AK 99645-9964 | 2019-08-21 |
| 1437630514 | Ann Dougherty | Massage Therapist | 1734 Prospect Dr, Palmer, AK 99645 | 2018-08-27 |
| 1003319476 | Zachary Richards | Chiropractor | 1734 Prospect Dr, Palmer, AK 99645 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053704304 | Brittany Alexandra Blake | Chiropractor | 1030 S Colony Way, Palmer, AK 99645-6929 | 2015-03-11 |
| 1356697791 | Tyler Jorgensen | Chiropractor | 808 S Bailey St, Suite 103, Palmer, AK 99645-6991 | 2012-08-02 |
| 1487890646 | Dwayne Harry Engelbrecht | Chiropractor | 1901 E. Hemmer Rd, Palmer, AK 99645 | 2008-12-18 |
| 1023151347 | Curtiss Roger Anderson | Chiropractor | 939 S Dimond St, Palmer, AK 99645-0882 | 2007-02-15 |
| 1285772962 | Palmer Chiropractic PC | Chiropractor | 1223 Thorndike St, Palmer, MA 01069-1564 | 2007-02-02 |
| 1194862409 | James D Hunt | Chiropractor | 440 W Evergreen Ave, Ste B, Palmer, AK 99645-6984 | 2007-01-30 |
| 1427088087 | Joseph Thomas Hawkins | Chiropractor | 108 E Arctic Ave, Palmer, AK 99645-6254 | 2006-07-03 |
| 1750886016 | Bionic Chiropractic | Chiropractor | 108 E Arctic Ave, Palmer, AK 99645-6254 | 2018-03-28 |
| 1003319476 | Zachary Richards | Chiropractor | 1734 Prospect Dr, Palmer, AK 99645 | 2018-03-13 |
| 1679003057 | Heidi Jo Kemble | Chiropractor | 1901 N Hemmer Rd, Palmer, AK 99645-9690 | 2017-06-18 |
| Find all providers in PALMER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.