| Name: | Alaska Provider Network |
| Jurisdiction: | Alaska |
| Legal type: | Business Name Registration |
| Status: | Active Name |
| Date of registration: | 26 Jul 2021 (3 years ago) |
| Expiration date: | 31 Dec 2025 |
| Entity Number: | 10169420 |
| ZIP code: | 99654 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654 |
| Mailing Address: | PO BOX 2008, BOISE, ID 83701 |
Line of Business
54 Professional, Scientific and Technical ServicesNAICS
541990 ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES| Name | Role |
|---|---|
| Pinnacle Integrated Medicine, Inc. | Owner |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2135836 | Active | 2021-07-12 | 2022-12-20 | 2024-12-31 | LOB: 54 - Professional, Scientific and Technical Services, NAICS: 541990 - ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES |
Date of last update: 10 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
