Provider Demographics
NPI:1538391495
Name:BRETT ADAM BARRINGER
Entity type:Organization
Organization Name:BRETT ADAM BARRINGER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:BARRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-276-6325
Mailing Address - Street 1:401 W INTERNATIONAL AIRPORT RD
Mailing Address - Street 2:SUITE # 11
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-1181
Mailing Address - Country:US
Mailing Address - Phone:907-276-6325
Mailing Address - Fax:907-276-6330
Practice Address - Street 1:401 W INTERNATIONAL AIRPORT RD
Practice Address - Street 2:SUITE # 11
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1181
Practice Address - Country:US
Practice Address - Phone:907-276-6325
Practice Address - Fax:907-276-6330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK491261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care