Healthcare Provider Details

I. General information

NPI: 1598116741
Provider Name (Legal Business Name): DR. AUSTIN CHASE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 ERLER ST
SITKA AK
99835-7336
US

IV. Provider business mailing address

310 ERLER ST
SITKA AK
99835-7336
US

V. Phone/Fax

Practice location:
  • Phone: 907-600-0232
  • Fax: 907-600-0681
Mailing address:
  • Phone: 907-600-0232
  • Fax: 907-600-0681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number239792
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: