Provider Demographics
NPI:1144945742
Name:SOLDOTNA CHIROPRACTIC & UPPER CERVICAL LLC
Entity type:Organization
Organization Name:SOLDOTNA CHIROPRACTIC & UPPER CERVICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CEDARS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-210-1258
Mailing Address - Street 1:102 E REDOUBT AVE
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-8012
Mailing Address - Country:US
Mailing Address - Phone:907-262-9117
Mailing Address - Fax:
Practice Address - Street 1:102 E REDOUBT AVE
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-8012
Practice Address - Country:US
Practice Address - Phone:907-262-9117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty