Healthcare Provider Details

I. General information

NPI: 1144841487
Provider Name (Legal Business Name): NORTHSTAR ALIGNMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 06/13/2020
Certification Date: 06/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 1ST STREET #201
CORDOVA AK
99574
US

IV. Provider business mailing address

PO BOX 1174
CORDOVA AK
99574-1174
US

V. Phone/Fax

Practice location:
  • Phone: 907-424-3535
  • Fax: 907-242-3545
Mailing address:
  • Phone: 907-424-3535
  • Fax: 208-424-3545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. RICHARD DONALD BINGHAM
Title or Position: MEMBER/OWNER
Credential: DC
Phone: 208-771-5282