Provider Demographics
NPI:1558752378
Name:ALIGN COLUMBUS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ALIGN COLUMBUS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:TRIPLETT
Authorized Official - Last Name:INMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-799-1568
Mailing Address - Street 1:624 3RD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-6811
Mailing Address - Country:US
Mailing Address - Phone:812-799-1568
Mailing Address - Fax:812-379-8070
Practice Address - Street 1:624 3RD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-6811
Practice Address - Country:US
Practice Address - Phone:812-799-1568
Practice Address - Fax:812-379-8070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-16
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002826A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty