MEDICARE: ALIGNED FAMILY CHIROPRACTIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1912410515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIGNED FAMILY CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	2477 SHORELAND AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43611-1567
Country	:	US
Telephone Number	:	248-318-5005
Fax Number	:

Provider Business Practice Location Address
First Line	:	2477 SHORELAND AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43611-1567
Country	:	US
Telephone Number	:	248-318-5005
Fax Number	:	248-318-5005

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DEANA ANTOINETTE BURRINGTON
Credential	:	D.C.
Telephone Number	:	419-729-1619

Provider Enumeration Date	:	11/06/2017
Last Update Date	:	08/02/2019

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