Provider Demographics
NPI:1619143815
Name:ALIGN CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:ALIGN CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SRAVANTI
Authorized Official - Middle Name:K
Authorized Official - Last Name:KANTHETI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-522-8010
Mailing Address - Street 1:99 NORTH BRICE ROAD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-6522
Mailing Address - Country:US
Mailing Address - Phone:614-522-8010
Mailing Address - Fax:614-522-8011
Practice Address - Street 1:99 NORTH BRICE ROAD
Practice Address - Street 2:SUITE 250
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-6522
Practice Address - Country:US
Practice Address - Phone:614-522-8010
Practice Address - Fax:614-522-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3727111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty