Upham, Blaine G
Upham, Blaine G is an individual health care provider with primary practice located at 5461 E Mayflower Ln Ste 6 , Wasilla AK 99654-7892. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Upham, Blaine G can be contacted via phone (907) 357-6688.Contact Information
Primary practice address
5461 E Mayflower Ln Ste 6
Wasilla AK 99654-7892
Phone: (907) 357-6688
Fax: (907) 357-9655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5347 | Arizona |
| Chiropractic Providers / Chiropractor | 111N00000X | 584 | Alaska |
Profile Details
| NPI number | 1891838801 |
|---|---|
| LBN Legal business name | Upham, Blaine G |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Mar 18th, 2014 - about 12 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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