Healthcare Provider Details

I. General information

NPI: 1376778852
Provider Name (Legal Business Name): AURORA CHIROPRACTIC CENTER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9309 GLACIER HWY STE B106
JUNEAU AK
99801
US

IV. Provider business mailing address

9309 GLACIER HWY STE B106
JUNEAU AK
99801
US

V. Phone/Fax

Practice location:
  • Phone: 907-789-1344
  • Fax: 907-789-6134
Mailing address:
  • Phone: 907-789-1344
  • Fax: 907-789-6134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number150
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number511
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number312
License Number StateAK

VIII. Authorized Official

Name: DR. STEVEN DOUGLAS MESSERSCHMIDT
Title or Position: OWNER/PRESIDENT
Credential: CHIROPRACTIC ORTHOPE
Phone: 907-789-1344