Leroy D. Nordstrom
Chiropractor Orthopedic Specialist
207 E Dimond Blvd
Anchorage
, Alaska 99515-1909
Leroy D. Nordstrom
Chiropractor Orthopedic Specialist
207 E Dimond Blvd
Anchorage
, Alaska 99515-1909
(907) 344-5688
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Leroy D. Nordstrom
- 207 E Dimond Blvd
- Anchorage, AK
- Zip : 99515-1909
- Fax : (907) 344-5688
- Phone : (907) 344-5633
Second Address
- Leroy D. Nordstrom
- 207 E Dimond Blvd
- Anchorage, AK
- Zip : 99515-1909
- Fax : (907) 344-5688
- Phone : (907) 344-5633
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 123 | AK |
National Provider Identifier
| NPI | 1407910003 |
|---|---|
| Provider Name | Leroy D. Nordstrom |
| First Address | Anchorage, AK 99515-1909 |
| Second Address | Anchorage, AK 99515-1909 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CH0082 | (05) | 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.