Provider Demographics
NPI:1497340897
Name:ALIGN TO HEALTH
Entity Type:Organization
Organization Name:ALIGN TO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:BARANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:574-387-5822
Mailing Address - Street 1:15615 STATE ROAD 23 # D
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-7091
Mailing Address - Country:US
Mailing Address - Phone:574-387-5822
Mailing Address - Fax:
Practice Address - Street 1:15615 STATE ROAD 23 # D
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-7091
Practice Address - Country:US
Practice Address - Phone:574-387-5822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty