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NPI Code Detail

MEDICARE: ALIGN CHIROPRACTIC OF PORT, S.C.

MEDICARE: ALIGN CHIROPRACTIC OF PORT, S.C.
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
1111N00000XChiropractor1323WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588792600
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALIGN CHIROPRACTIC OF PORT, S.C.
Provider Business Mailing Address
First Line : 1032 S SPRING ST
Second Line :
City : PORT WASHINGTON
State : WI
Zip : 53074-2455
Country : US
Telephone Number : 262-284-0500
Fax Number : 262-284-1944
Provider Business Practice Location Address
First Line : 1032 S SPRING ST
Second Line :
City : PORT WASHINGTON
State : WI
Zip : 53074-2455
Country : US
Telephone Number : 262-284-0500
Fax Number : 262-284-1944
Authorized Official
Title or Position : PRESIDENT
Name : DR. JACOB J CHAPMAN
Credential : D.C.
Telephone Number : 262-284-0500
Provider Enumeration Date : 03/01/2007
Last Update Date : 11/02/2017

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Directions to “ALIGN CHIROPRACTIC OF PORT, S.C. ” Practice Location

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