Eagle River Pain & Wellness, Llc
LBN: Eagle River Pain & Wellness, Llc
Eagle River Pain & Wellness, Llc is an health care organization with primary practice located at 16425 Brooks Loop , Eagle River AK 99577-8027. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty.
Eagle River Pain & Wellness, Llc can be contacted via phone (907) 622-4673, or through Spayd, Jessica Joyce via phone (907) 622-4673.
Contact Information
Primary practice address
16425 Brooks Loop
Eagle River AK 99577-8027
Phone: (907) 622-4673
Fax: (907) 622-4674
Website:
Authorized official contact:
Name: Spayd, Jessica Joyce Adult Nurse Practitioner (ANP)
Phone: (907) 622-4673
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 308947 | Alaska |
Profile Details
| NPI number | 1003255480 |
|---|---|
| LBN Legal business name | Eagle River Pain & Wellness, Llc |
| DBA Doing business as | |
| Authorized official | Spayd, Jessica Joyce Adult Nurse Practitioner (ANP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2013 |
| Last updated | Jun 20th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003255480 | NPPES |
| Alaska | MEDICAID | 1584697 |
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