Provider Demographics
NPI:1629400809
Name:ALIGN CHIROPRACTIC & WELLNESS, LLC
Entity Type:Organization
Organization Name:ALIGN CHIROPRACTIC & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:LOREE
Authorized Official - Last Name:SIGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-222-2323
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:KS
Mailing Address - Zip Code:67548-0053
Mailing Address - Country:US
Mailing Address - Phone:785-222-2323
Mailing Address - Fax:785-514-5353
Practice Address - Street 1:1105 MAIN ST
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:KS
Practice Address - Zip Code:67548-8404
Practice Address - Country:US
Practice Address - Phone:785-222-2323
Practice Address - Fax:785-514-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty