Provider Demographics
NPI:1225419922
Name:ALIGNED INTEGRATIVE HEALTHCARE
Entity Type:Organization
Organization Name:ALIGNED INTEGRATIVE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ROSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-310-8096
Mailing Address - Street 1:136 N. ORCHARD STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-5114
Mailing Address - Country:US
Mailing Address - Phone:386-310-8096
Mailing Address - Fax:386-866-0292
Practice Address - Street 1:136 N. ORCHARD STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-5114
Practice Address - Country:US
Practice Address - Phone:386-310-8096
Practice Address - Fax:386-866-0292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty