Provider Demographics
NPI:1548565088
Name:ALIGN WELLNESS, LLC
Entity Type:Organization
Organization Name:ALIGN WELLNESS, LLC
Other - Org Name:DUKES CHIROPRACTIC LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:FLORINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-683-5490
Mailing Address - Street 1:2434 N WOODLAWN BLVD STE 170
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-3959
Mailing Address - Country:US
Mailing Address - Phone:316-683-5490
Mailing Address - Fax:316-683-0630
Practice Address - Street 1:2434 N WOODLAWN BLVD STE 170
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-3959
Practice Address - Country:US
Practice Address - Phone:316-683-5490
Practice Address - Fax:316-683-0630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05376111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty