Healthcare Provider Details

I. General information

NPI: 1649459207
Provider Name (Legal Business Name): ALASKA BUSINESS SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49.9 PARKS HWY
WASILLA AK
99654
US

IV. Provider business mailing address

PO BOX 871282
WASILLA AK
99687-1282
US

V. Phone/Fax

Practice location:
  • Phone: 907-892-5300
  • Fax: 907-892-5301
Mailing address:
  • Phone: 907-892-5300
  • Fax: 907-892-5301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number721672
License Number StateAK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. MONICA BLISS OCKWIG
Title or Position: OWNER
Credential: BA, CC
Phone: 907-892-5300