Provider Demographics
NPI:1356093348
Name:ALIGN INTERVENTIONAL SPINE AND JOINT
Entity Type:Organization
Organization Name:ALIGN INTERVENTIONAL SPINE AND JOINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/INTERVENTIONAL PAIN PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:REENA
Authorized Official - Middle Name:SARAH
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:504-547-7463
Mailing Address - Street 1:3434 HOUMA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4278
Mailing Address - Country:US
Mailing Address - Phone:504-547-7463
Mailing Address - Fax:
Practice Address - Street 1:3434 HOUMA BLVD STE 202
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4700
Practice Address - Country:US
Practice Address - Phone:312-859-0037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4437822OtherCIGNA