Provider Demographics
NPI:1093123655
Name:ALIGN BACK BELT COMPANY
Entity Type:Organization
Organization Name:ALIGN BACK BELT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-232-4274
Mailing Address - Street 1:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-0446
Mailing Address - Country:US
Mailing Address - Phone:848-232-4274
Mailing Address - Fax:848-232-4276
Practice Address - Street 1:1875 ROUTE 88 E
Practice Address - Street 2:SUITE 2
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3533
Practice Address - Country:US
Practice Address - Phone:848-232-4274
Practice Address - Fax:848-232-4276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies