Pfeifer, Mary Lorene

Pfeifer, Mary Lorene is an sole proprietor health care provider with primary practice located at 2901 Baranof Ave , Ketchikan AK 99901-5765. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is her primary health care specialty. Pfeifer, Mary Lorene can be contacted via phone (907) 225-9090.

Contact Information

Primary practice address
2901 Baranof Ave Ketchikan AK 99901-5765
Phone: (907) 225-9090
Fax: (907) 225-9001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 157 Alaska
Chiropractic Providers / Rehabilitation 111NR0400X 737 Alaska

Profile Details

NPI number 1073658837
LBN Legal business name Pfeifer, Mary Lorene
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 19 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 1073658837 NPPES
Alaska MEDICAID CH0157

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