1083768444 NPI number — ALIGNED FOR HEALTH CHIROPRACTIC, S.C.

Table of content: (NPI 1083768444)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083768444 NPI number — ALIGNED FOR HEALTH CHIROPRACTIC, S.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALIGNED FOR HEALTH CHIROPRACTIC, S.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083768444
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
739 SOUTH MAIN STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIROQUA
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54665
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-637-7315
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
739 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIROQUA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54665-2215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-637-6577
Provider Business Practice Location Address Fax Number:
608-637-7799
Provider Enumeration Date:
01/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
TENA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
608-637-6577

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  3769-012 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 116760 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 649035 . This is a "MIDWEST SECURITY" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 649035 . This is a "HEALTH NETWORK" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 649035 . This is a "MEDICA HEALTHPLAN OF WISC" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 649035 . This is a "GE WELLNESS" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 649035 . This is a "GREAT-WEST HEALTHCARE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 38944500 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 649035 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 649035 . This is a "GOLDEN RULE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 649035 . This is a "HEALTH ALLIES" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".




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