Pavitt, Corey M

Pavitt, Corey M is an individual health care provider with primary practice located at 10004 Glacier Hwy Ste. B, Juneau AK 99801-8560. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pavitt, Corey M can be contacted via phone (907) 790-2225.

Contact Information

Primary practice address
10004 Glacier Hwy Ste. B Juneau AK 99801-8560
Phone: (907) 790-2225
Fax: (907) 789-5577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHI 272 Alaska

Profile Details

NPI number 1134229776
LBN Legal business name Pavitt, Corey M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Apr 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134229776 NPPES
Alaska Other 00020015225 TAT
Alaska MEDICAID CH0272 TAT
Alaska Other 92-0146428 TAT

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