Provider Demographics
NPI:1700417375
Name:ALIGNSD WELLNESS CENTER - A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ALIGNSD WELLNESS CENTER - A PROFESSIONAL CORPORATION
Other - Org Name:ALIGNSD WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-458-9355
Mailing Address - Street 1:2525 CAMINO DEL RIO S
Mailing Address - Street 2:STE 300
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108
Mailing Address - Country:US
Mailing Address - Phone:619-458-9355
Mailing Address - Fax:619-458-9377
Practice Address - Street 1:2525 CAMINO DEL RIO S
Practice Address - Street 2:STE 300
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3720
Practice Address - Country:US
Practice Address - Phone:619-458-9355
Practice Address - Fax:619-458-9377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty