MEDICARE: BILLY DC MCAFEE D.C., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	111N00000X	Chiropractor		AK

General Provider Information

NPI Number	:	1740273812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILLY DC MCAFEE D.C., P.C.

Provider Business Mailing Address
First Line	:	1099 FARMERS LOOP RD
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99709-6821
Country	:	US
Telephone Number	:	907-378-5385
Fax Number	:	907-457-5102

Provider Business Practice Location Address
First Line	:	1773 COLLEGE RD
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99709-4176
Country	:	US
Telephone Number	:	907-457-5100
Fax Number	:	907-457-5102

Authorized Official
Title or Position	:	OWNER, DOCTOR
Name	:	DR. BILLY DC MCAFEE
Credential	:	D.C.
Telephone Number	:	907-378-8560

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	07/21/2022

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