Provider Demographics
NPI:1356857965
Name:ALIGN FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:ALIGN FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:THOMPSN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-960-3546
Mailing Address - Street 1:418 S LOMBARD ST
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2521
Mailing Address - Country:US
Mailing Address - Phone:303-960-3546
Mailing Address - Fax:
Practice Address - Street 1:418 S LOMBARD ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2521
Practice Address - Country:US
Practice Address - Phone:303-960-3546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty