Provider Demographics
NPI:1689481772
Name:EMERGENT WOMEN ENTERPRISES LLC
Entity type:Organization
Organization Name:EMERGENT WOMEN ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWENSON-RIDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-388-3171
Mailing Address - Street 1:1128 TRIANON DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99712-2759
Mailing Address - Country:US
Mailing Address - Phone:970-236-1836
Mailing Address - Fax:
Practice Address - Street 1:59 COLLEGE RD STE 1
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-1758
Practice Address - Country:US
Practice Address - Phone:970-236-1836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty