Healthcare Provider Details
I. General information
NPI: 1740273812
Provider Name (Legal Business Name): BILLY DC MCAFEE D.C., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2005
Last Update Date: 07/21/2022
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1773 COLLEGE RD
FAIRBANKS AK
99709-4176
US
IV. Provider business mailing address
1099 FARMERS LOOP RD
FAIRBANKS AK
99709-6821
US
V. Phone/Fax
- Phone: 907-457-5100
- Fax: 907-457-5102
- Phone: 907-378-5385
- Fax: 907-457-5102
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | AK |
VIII. Authorized Official
Name: DR.
BILLY
DC
MCAFEE
Title or Position: OWNER, DOCTOR
Credential: D.C.
Phone: 907-378-8560