Provider Demographics
NPI:1639329519
Name:ALIGN CHIROPRACTIC WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:ALIGN CHIROPRACTIC WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEAH SAMUELS
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-834-5600
Mailing Address - Street 1:440 PELLIS RD
Mailing Address - Street 2:SUITE #7
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4529
Mailing Address - Country:US
Mailing Address - Phone:724-834-5600
Mailing Address - Fax:724-834-5700
Practice Address - Street 1:440 PELLIS RD
Practice Address - Street 2:SUITE #7
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4529
Practice Address - Country:US
Practice Address - Phone:724-834-5600
Practice Address - Fax:724-834-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty