Align Family Chiropractic LLC

Organization Active NPI Chiropractor · Tyler, MN

NPI 1689180259 · NPPES record last updated Dec 19, 2017

Key facts

NPI
1689180259
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
6310 (MN)
Legal business name
ALIGN FAMILY CHIROPRACTIC LLC
Practice address
117 W Hughes Street
Tyler, MN 56178
Phone
(507) 337-9773
NPI assigned
Dec 19, 2017
Organization subpart
No

Authorized official

Name
Dr. Danaca A Janiszeski, DC
Title
Chiropractor/Owner
Phone
(507) 828-5237

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180619001543 MN Part B Supplier - Clinic/Group Practice 9234484098 Receives reassigned benefits from 1 practitioner
Practice locations: Tyler, MN

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 6310 MN Yes

Addresses

Primary practice location

117 W Hughes Street
Tyler, MN 56178

Mailing address

PO Box 132
Tyler, MN 56178-0132
Phone (507) 828-5237

Other providers in Tyler, MN

All providers in Tyler, MN · Chiropractor in Minnesota

Sources for this page

Verify at the official NPI Registry.