Provider Demographics
NPI:1689180259
Name:ALIGN FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ALIGN FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANACA
Authorized Official - Middle Name:A
Authorized Official - Last Name:JANISZESKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-828-5237
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:MN
Mailing Address - Zip Code:56178-0132
Mailing Address - Country:US
Mailing Address - Phone:507-828-5237
Mailing Address - Fax:
Practice Address - Street 1:117 W HUGHES STREET
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:MN
Practice Address - Zip Code:56178
Practice Address - Country:US
Practice Address - Phone:507-337-9773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty