Provider Demographics
NPI:1639469422
Name:ALIGN WITH WELLNESS, LLC
Entity Type:Organization
Organization Name:ALIGN WITH WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:ABBOTT
Authorized Official - Last Name:DAFOE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-512-2919
Mailing Address - Street 1:40 FOREST FALLS DR
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6905
Mailing Address - Country:US
Mailing Address - Phone:207-512-2919
Mailing Address - Fax:207-591-4384
Practice Address - Street 1:40 FOREST FALLS DR
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6905
Practice Address - Country:US
Practice Address - Phone:207-512-2919
Practice Address - Fax:207-591-4384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty