Align Chiropractic & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5078-12 Issued in WI

Legal business name

ALIGN CHIROPRACTIC & WELLNESS LLC

Practice address

536 N 9TH St
Manitowoc, WI 54220-4016

Phone

(920) 717-0512

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Egan, D.C.

Title

Owner

Phone

(920) 323-3810

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1083140933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 MARKEN RD",
            "city": "VALDERS",
            "state": "WI",
            "postal_code": "542459724",
            "telephone_number": "920-323-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 N 9TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204016",
            "telephone_number": "920-717-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-323-3810",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5078-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.