Provider Demographics
NPI:1073374393
Name:ALIGNLIFE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ALIGNLIFE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LILY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEANE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-515-1880
Mailing Address - Street 1:92-1087 PALAHIA ST APT B
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3369
Mailing Address - Country:US
Mailing Address - Phone:408-515-1880
Mailing Address - Fax:
Practice Address - Street 1:99-209 MOANALUA RD STE 314
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4042
Practice Address - Country:US
Practice Address - Phone:408-515-1880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty