Healthcare Provider Details

I. General information

NPI: 1073965547
Provider Name (Legal Business Name): LEVI BARON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11694 SEWARD HWY STE C
SEWARD AK
99664-9710
US

IV. Provider business mailing address

11694 SEWARD HWY STE C
SEWARD AK
99664-9710
US

V. Phone/Fax

Practice location:
  • Phone: 907-224-8680
  • Fax: 907-224-8910
Mailing address:
  • Phone: 907-224-8680
  • Fax: 907-224-8910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number117880
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: