Healthcare Provider Details

I. General information

NPI: 1932965373
Provider Name (Legal Business Name): MEDICAL ARTS COLLABORATIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 OLD STEESE HWY STE B
FAIRBANKS AK
99701-3168
US

IV. Provider business mailing address

607 OLD STEESE HWY STE B PMB 315
FAIRBANKS AK
99701
US

V. Phone/Fax

Practice location:
  • Phone: 907-687-5232
  • Fax: 907-206-7158
Mailing address:
  • Phone: 907-687-5232
  • Fax: 907-206-7158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARA GEORGINA ALEKSANDRAVICIUS
Title or Position: FOUNDER
Credential: DC
Phone: 907-687-5232