Provider Demographics
NPI:1710166806
Name:ALIGNED 2021
Entity Type:Organization
Organization Name:ALIGNED 2021
Other - Org Name:POKORNY CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CUDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-671-5655
Mailing Address - Street 1:110 S IDAHO RD STE 140
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85119-2379
Mailing Address - Country:US
Mailing Address - Phone:480-671-5655
Mailing Address - Fax:480-671-5705
Practice Address - Street 1:110 S IDAHO RD
Practice Address - Street 2:STE. 140
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85219-2739
Practice Address - Country:US
Practice Address - Phone:480-671-5655
Practice Address - Fax:480-671-5705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ79509Medicare PIN