Dr. Wallace J Harrison Jr
Chiropractor Radiology
3375 Badger Rd Suite 5
North Pole
, Alaska 99705-6133
Dr. Wallace J Harrison Jr
Chiropractor Radiology
3375 Badger Rd Suite 5
North Pole
, Alaska 99705-6133
(907) 488-1885
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About
Features
Specialties
- Chiropractor
- Radiology
Languages spoken
- English
Location
First Address
- Dr. Wallace J Harrison Jr
- 3375 Badger Rd Suite 5
- North Pole, AK
- Zip : 99705-6133
- Phone : (907) 488-1885
Second Address
- Dr. Wallace J Harrison Jr
- 3375 Badger Rd Suite 5
- North Pole, AK
- Zip : 99705-6133
- Phone : (907) 488-1885
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Is Dr. Wallace J Harrison Jr a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 378 | AK |
| N | 111NR0200X | Radiology | 378 | AK |
| N | 213ER0200X | Radiology | 378 | AK |
National Provider Identifier
| NPI | 1659495919 |
|---|---|
| Provider Name | Dr. Wallace J Harrison Jr |
| First Address | North Pole, AK 99705-6133 |
| Second Address | North Pole, AK 99705-6133 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2007 |
| Last Update Date | 01/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 152524 | (02) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.