Provider Demographics
NPI:1497343925
Name:ALIGNED HEALTH PRACTICE LLC
Entity Type:Organization
Organization Name:ALIGNED HEALTH PRACTICE LLC
Other - Org Name:ALIGNED HEALTH PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED DIETITIAN / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOSHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD
Authorized Official - Phone:417-342-0822
Mailing Address - Street 1:300 E MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1782
Mailing Address - Country:US
Mailing Address - Phone:317-210-3722
Mailing Address - Fax:317-296-7211
Practice Address - Street 1:300 E MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1782
Practice Address - Country:US
Practice Address - Phone:417-342-0822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-10
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty